opcs operating procedure codes · ssi protocol: opcs operating procedure code supplement. rev.: 1....

SSI Protocol: OPCS operating procedure code supplement. Rev.: 1.

Surgical Site Infection Surveillance Service (SSISS)

Protocol for surveillance of surgical site infection

Supplement

OPCS Operating Procedure Codes

List of surgical procedures in each category with corresponding

OPCS codes and minimum wound class

Derived from: NHS Digital / Health and Social Care Information Centre OPCS 4.7 – 4.8 Published October 2016

SSI Protocol: OPCS operating procedure code supplement. Rev.: 1. .

Contents

Abbreviations ............................................................................................................. 2

Procedures included in SSISS Surveillance .............................................................. 3

Categories of procedure ............................................................................................ 4

Minimally invasive procedures ................................................................................... 4

Coding procedures included in the surveillance ......................................................... 4

Wound classification .................................................................................................. 4

Abdominal Hysterectomy ........................................................................................... 5

Bile duct, liver or pancreatic surgery .......................................................................... 6

Breast Surgery ......................................................................................................... 10

Cardiac Surgery ....................................................................................................... 12

Cholecystectomy (non-laparoscopic) without exploration of bile duct ...................... 17

Coronary artery bypass graft.................................................................................... 18

Cranial Surgery ........................................................................................................ 19

Gastric Surgery ........................................................................................................ 23

Hip replacement ....................................................................................................... 26

Knee replacement .................................................................................................... 28

Large bowel surgery ................................................................................................ 30

Limb amputation ...................................................................................................... 34

Limb amputation ...................................................................................................... 34

Reduction of long bone fracture ............................................................................... 35

Repair of neck of femur ............................................................................................ 37

Small bowel surgery ................................................................................................. 38

Spinal Surgery ......................................................................................................... 41

Vascular surgery ...................................................................................................... 47

Abbreviations

NEC Not elsewhere specified

NOC Not otherwise classified

HFQ However further qualified


Procedures included in SSISS Surveillance

The SSI surveillance is targeted on selected groups of clinically similar procedures (table 1):

Table 1. Categories of surgical procedures included in the surveillance

Category Summary of surgical procedures

Abdominal hysterectomy Excision of uterus through an abdominal incision with or without concurrent excision of ovary and/or fallopian tube.

Bile duct, liver, or pancreatic surgery

Operative procedures on the bile duct, gall bladder, liver or pancreas, excluding cholecystectomy without exploration of the bile duct and biopsy of lesions.

Breast surgery Breast reconstruction, mammoplasty, excision of lesion, tissue or breast including radical, modified, or quadrant resection, lumpectomy, incisional biopsy.

Cardiac surgery (non -CABG)

Open chest procedures on valves or septum of heart; excludes coronary artery bypass graft, surgery on vessels, heart transplantation, or pacemaker implantation.

Cranial surgery Incision through the skull to excise, repair, or explore the brain, excludes taps or punctures.

Cholecystectomy (non-laparoscopic)

Partial or total excision of the gall bladder, excluding laparoscopic approach and procedures involving exploration of the bile duct.

Coronary artery bypass graft

Open chest procedure to perform direct revascularization of heart, for example, using a vein graft.

Gastric surgery Incision, excision or anastomosis of stomach, including partial or total gastrectomy, vagotomy, pyloromyotomy, pyloroplasty and gastroenterostomy.

Hip replacement Replacement of the hip joint including resurfacing of the joint, acetabulum replacement and revision of a previous replacement and conversion from a previous hemiarthroplasty or bone fixation.

Knee replacement Replacement of all or part of knee joint (with or without patella resurfacing), including revision of a previous replacement. Excludes patella replacement.

Large bowel surgery Incision, excision or anastomosis of the large bowel, including procedures which involve anastomosis of small to large bowel.

Limb amputation Total or partial amputation or disarticulation of the upper or lower limbs, including digits

Reduction of long bone fracture

Open or closed reduction of fracture of long bones requiring surgical incision to apply internal or external fixation. Excludes replacement or open fixation of hip fracture, of small bones or intraarticular fracture.

Repair of neck of femur Replacement of the head of femur, including revision of a previous hemiarthoplasty (but excluding conversion to total joint replacement) and reduction of a fractured neck of femur using open fixation e.g. dynamic hip screw.

Small bowel surgery Incision, excision or anastomosis of small intestine, excluding procedures which involve anastomosis of small to large bowel.

Spinal surgery Surgical procedures on the vertebral structures of the spine including the exploration or decompression of the spinal cord, the removal or resection of intervertebral discs, spinal fusion; and repair of fractures or deformities.

Vascular surgery

Operative procedure involving arteries or veins includes aortic aneurysm repair, vascular grafts, and carotid, iliac, femoral or popliteal artery operations. Excludes varicose vein repair, creation of arterial shunts, coronary artery bypass graft, or procedures involving the pulmonary artery.


Categories of procedure

Each category contains a specific set of surgical procedures. Procedures eligible for inclusion in the surveillance are defined by OPCS surgical procedure codes. A particular category does not necessarily include all operations in the relevant section of the OPCS codes. Minimally invasive procedures

Endoscopic procedures are not included in the surveillance. However, eligible procedures that are performed using minimally invasive techniques such as laparoscopic assisted bowel resections and where a surgical incision is made can be included. Coding procedures included in the surveillance

Only codes for procedures within the chosen category of surgical procedure should be recorded. Where available the more precise four-digit code (e.g. Q07.4) should be used in preference to the three-digit code (e.g. Q07). If OPCS codes are not routinely recorded in the patients records select from the following lists the code that most closely matches the procedure carried out. If in doubt seek the advice of surgeon, theatre staff or the clinical coding department. Always check that the corresponding procedure appears in this list before including the patient in the surveillance. Wound classification

The minimum wound class is shown in brackets after each main code group. However this is only indicative and may be increased as a result of events that occur pre-operatively (e.g. emergency operations, trauma) or intra-operatively (e.g. major break in aseptic technique, gross spillage from the gastrointestinal tract, presence of acute inflammation, pus or perforated viscera). Thus, the classification of wound contamination must be confirmed by the surgeon, or by checking the operation record against the definition of wound class given in the surveillance protocol


Abdominal Hysterectomy

Excision of uterus through an abdominal incision with or without concurrent excision of ovary and/or fallopian tube

Laparoscopic ‘assisted’ procedures

These can be included in the surveillance using the following Y75 .codes as a secondary code to indicate the laparoscopic approach For example, a laparoscopic assisted wedge excision of liver would be given a primary procedure code of J02.4 and a secondary code of Y75.1. Y75.1 Laparoscopically assisted approach to the abdominal cavity Y75.2 Laparoscopic approach to the abdominal cavity not elsewhere classified. The minimum wound class is shown in brackets by group name

Q07 Abdominal excision of uterus (Clean-contaminated)

Q07.1 Abdominal hysterocolpectomy and excision of periuterine tissue Q07.2 Abdominal hysterectomy and excision of periuterine tissue not elsewhere classified Q07.3 Abdominal hysterocolpectomy not elsewhere classified Q07.4 Total abdominal hysterectomy not elsewhere classified Includes: Hysterectomy not elsewhere classified Q07.5 Subtotal abdominal hysterectomy Q07.6 Excision of accessory uterus Q07.8 Other specified abdominal excision of uterus Q07.9 Unspecified abdominal excision of uterus Note: If concurrent excision of ovary and/or fallopian tube is performed during the same operation,

record as a multiple procedure but do not code.


Bile duct, liver or pancreatic surgery

Operative procedures on the bile duct, gall bladder, liver or pancreas, excluding cholecystectomy without exploration of the bile duct and biopsy of lesions.


These can be included in the surveillance using the following Y75 .codes as a secondary code to indicate the laparoscopic approach For example, a laparoscopic assisted wedge excision of liver would be given a primary procedure code of J02.4 and a secondary code of Y75.1. Y75.1 Laparoscopically assisted approach to the abdominal cavity Y75.2 Laparoscopic approach to the abdominal cavity not elsewhere classified. Please see minimum wound class against each procedure

J02 Partial excision of liver (Clean)

J02.1 Right hemihepatectomy J02.2 Left hemihepatectomy J02.3 Resection of segment of liver J02.4 Wedge excision of liver J02.5 Marsupialisation of lesion of liver J02.6 Extended right hemihepatectomy J02.7 Extended left hemihepatectomy J02.8 Other specified partial excision of liver J02.9 Unspecified partial excision of liver J03 Extirpation of lesion of liver (Clean)

J03.1 Excision of lesion of liver NEC J03.2 Destruction of lesion of liver NEC J03.3 Thermal ablation of single lesion of liver J03.4 Thermal ablation of multiple lesions of liver J03.5 Excision of multiple lesions of liver J03.8 Other specified extirpation of lesion of liver J03.9 Unspecified extirpation of lesion of liver J04 Repair of liver (Clean)

J04.1 Removal of lacerated fragment of liver J04.2 Repair of laceration of liver J04.3 Packing of laceration of liver J04.8 Other specified repair of liver J04.9 Unspecified repair of liver J05 Incision of liver (Clean) Excludes: Open biopsy of lesion of liver (J05.3)

J05.1 Open drainage of liver J05.2 Open removal of calculus from liver J05.8 Other specified incision of liver J18 Excision of gall bladder and exploration of common bile duct (Clean-contaminated) Excludes: Cholecystectomy without exploration of common bile duct (J18.1, J18.3, J18.5)

J18.2 Total cholecystectomy and exploration of common bile duct Includes: Cholecystectomy and exploration of common bile duct not elsewhere classified J18.4 Partial cholecystectomy and exploration of common bile duct J19 Connection of gall bladder (Clean-contaminated)

J19.1 Anastomosis of gall bladder to stomach J19.2 Anastomosis of gall bladder to duodenum J19.3 Anastomosis of gall bladder to jejunum J19.4 Anastomosis of gall bladder to intestine not elsewhere classified J19.5 Revision of anastomosis of gall bladder J19.6 Closure of anastomosis of gall bladder


Please see minimum wound class against each procedure

J19.8 Other specified connection of gall bladder J19.9 Unspecified connection of gall bladder J20 Repair of gall bladder (Clean-contaminated)

J20.1 Closure of fistula of gall bladder J20.2 Closure of cholecystotomy J20.3 Repair of perforation of gall bladder J20.8 Other specified repair of gall bladder J20.9 Unspecified repair of gall bladder J21 Incision of gall bladder (Clean-contaminated)

J21.1 Open removal of calculus from gall bladder J21.2 Drainage of gall bladder Includes: Cholecystostomy not elsewhere classified J21.3 Drainage of tissue surrounding gall bladder J21.8 Other specified incision of gall bladder J21.9 Unspecified incision of gall bladder J23.1 Excision of lesion of gall bladder (Clean-contaminated)

J23.8 Other specified open operations on gall bladder J23.9 Unspecified other open operations on gall bladder Does not include biopsy or exploration J27 Excision of bile duct (Clean-contaminated)

J27.1 Excision of ampulla of Vater and replantation of common bile duct into duodenum J27.2 Partial excision of bile duct and anastomosis of bile duct to duodenum J27.3 Partial excision of bile duct and anastomosis of bile duct to jejunum J27.4 Partial excision of bile duct and end to end anastomosis of bile duct J27.5 Excision of extrahepatic bile ducts HFQ J27.8 Other specified excision of bile duct J27.9 Unspecified excision of bile duct J28.1 Excision of lesion of bile duct (Clean-contaminated)

J28.2 Destruction of lesion of bile duct J28.8 Other specified extirpation of lesion of bile duct J28.9 unspecified extirpation of lesion of bile duct J29 Connection of hepatic duct (Clean-contaminated) J29.1 Anastomosis of hepatic duct to transposed jejunum and insertion of tubal prosthesis HFQ J29.2 Anastomosis of hepatic duct to jejunum NEC J29.3 Revision of anastomosis of hepatic duct J29.4 Open dilation of anastomosis of hepatic duct J29.8 Other specified connection of hepatic duct J29.9 Unspecified connection of hepatic duct J30 Connection of common bile duct (Clean-contaminated)

J30.1 Anastomosis of common bile duct to duodenum J30.2 Astomosis of common bile duct to transposed jejunum J30.3 Anastomosis of common bile duct to jejunum not elsewhere classified J30.4 Revision of anastomosis of common bile duct J30.5 Open dilation of anastomosis of common bile duct J30.8 Other specified connection of common bile duct J30.9 Unspecified connection of common bile duct J31 Open introduction of prosthesis into bile duct (Clean-contaminated)

J31.1 Open insertion of tubal prosthesis into both hepatic ducts and common bile duct J31.2 Open insertion of tubal prosthesis into one hepatic duct and common bile duct J31.3 Open renewal of tubal prosthesis in bile duct J31.4 Open removal of tubal prosthesis in bile duct J31.8 Other specified open introduction of prosthesis into bile duct J31.9 Unspecified open introduction of prosthesis into bile duct



J32 Repair of bile duct (Clean-contaminated)

J32.1 Reconstruction of bile duct J32.2 Reanastomosis of bile duct Includes: End to end anastomosis of divided bile duct J32.8 Other specified repair of bile duct J32.9 Unspecified repair of bile duct J33 Incision of bile duct (Clean-contaminated)

J33.1 Open removal of calculus from bile duct and drainage of bile duct J33.2 Open removal of calculus from bile duct not elsewhere classified J33.3 Drainage of bile duct not elsewhere classified J33.8 Other specified incision of bile duct J33.9 Unspecified incision of bile duct Excludes: Exploration of bile duct when associated with excision of gall bladder (J18.2, J18.4) J34 Plastic repair of sphincter of Oddi using duodenal approach (Clean-contaminated) Includes: Plastic repair of sphincter of Oddi not elsewhere classified

J34.1 Sphincteroplasty of bile duct and pancreatic duct using duodenal approach J34.2 Sphincteroplasty of bile duct using duodenal approach not elsewhere classified J34.3 Sphincteroplasty of pancreatic duct using duodenal approach not elsewhere classified J34.8 Other specified plastic repair of sphincter of oddi using duodenal approach J34.9 Unspecified plastic repair of sphincter of oddi using duodenal approach Includes: Sphincteroplasty of papilla of Vater using duodenal approach and sphincteroplasty of papilla of Vater not elsewhere classified J35 Incision of sphincter of Oddi using duodenal approach (Clean-contaminated) Includes: Incision of sphincter of Oddi not elsewhere classified

J35.1 Sphincterotomy of bile duct and pancreatic duct using duodenal approach J35.2 Sphincterotomy of bile duct using duodenal approach not elsewhere classified J35.3 Sphincterotomy of pancreatic duct using duodenal approach not elsewhere classified J35.8 Other specified incision of sphincter of oddi using duodenal approach J35.9 Unspecified incision of sphincter of oddi using duodenal approach Includes: Sphincterotomy of papilla of Vater using duodenal approach Sphincterotomy of papilla of Vater not elsewhere classified J36 Other operations on ampulla of Vater using duodenal approach (Clean-contaminated) Includes: Operations on ampulla of Vater not elsewhere classified Papilla of Vater; Sphincter of Oddi Excludes: Biopsy of lesion of ampulla of Vater using duodenal approach (36.2)

J36.8 Other specified other operations on ampulla of vata using duodenal approach J36.9 Unspecified operations on ampulla of vata using duodenal approach J55 Total excision of pancreas (Clean-contaminated)

J55.1 Total pancreatectomy and excision of surrounding tissue J55.2 Total pancreatectomy not elsewhere classified J55.3 Excision of transplanted pancreas J55.8 Other specified total excision of pancreas J55.9 Unspecified specified total excision of pancreas J56 Excision of head of pancreas (Clean-contaminated)

J56.1 Pancreaticoduodenectomy and excision of surrounding tissue J56.2 Pancreaticoduodenectomy and resection of antrum of stomach J56.3 Pancreaticoduodenectomy not elsewhere classified J56.4 Subtotal excision of head of pancreas with preservation of duodenum and drainage HFQ J56.8 Other specified excision of head of pancreas J56.9 Unspecified excision of head of pancreas J57 Other partial excision of pancreas (Clean-contaminated)

J57.1 Subtotal pancreatectomy J57.2 Left pancreatectomy and drainage of pancreatic duct J57.3 Left pancreatectomy not elsewhere classified



J57.4 Excision of tail of pancreas and drainage of pancreatic duct J57.5 Excision of tail of pancreas not elsewhere classified J57.6 Pancreatic necrosectomy J57.8 Other specified other partial excision of pancreas J57.9 Unspecified other partial excision of pancreas Includes: Pancreatectomy not elsewhere classified J58 Extirpation of lesion of pancreas (Clean)

J58.1 Excision of lesion of islet of langerhans J58.2 Excision of lesion of pancreas not elsewhere classified J58.3 Destruction of lesion of pancreas J58.8 Other specified other extirpation of pancreas J58.9 Unspecified other extirpation of pancreas J59 Connection of pancreatic duct (Clean-contaminated)

J59.1 Anastomosis of pancreatic duct to stomach J59.2 Anastomosis of pancreatic duct to duodenum J59.3 Anastomosis of pancreatic duct to transposed jejunum J59.4 Anastomosis of pancreatic duct to jejunum not elsewhere classified J59.5 Revision of anastomosis of pancreatic duct J59.6 Closure of anastomosis of pancreatic duct J59.8 Other specified connection of pancreatic duct J59.9 Unspecified connection of pancreatic duct J60 Other open operations on pancreatic duct (Clean-contaminated)

J60.1 Drainage of pancreatic duct J60.2 Open removal of calculus from pancreatic duct Includes: Removal of calculus from pancreatic duct not elsewhere classified J60.3 Insertion of T tube into pancreatic duct (Clean-contaminated) J60.4 Open insertion of tubal prosthesis into pancreatic duct Includes: Insertion of tubal prosthesis into pancreatic duct not elsewhere classified (Clean-contaminated) J60.5 Open dilation of pancreatic duct Includes: Dilation of pancreatic duct not elsewhere classified (Clean-contaminated) J60.8 Other specified other operations on pancreatic duct J60.9 Unspecified other operations on pancreatic duct J61 Open drainage of lesion of pancreas (Clean-contaminated)

J61.1 Open cystogastrotomy of pancreas J61.2 Drainage of cyst of pancreas into transposed jejunum J61.3 Drainage of cyst of pancreas into jejunum not elsewhere classified J61.4 Drainage of cyst of pancreas not elsewhere classified J61.8 Other specified open drainage of lesion of pancreas J61.9 Unspecified open drainage of lesion of pancreas


Breast Surgery

Includes: excision of lesion or tissue of breast including radical, modified or quadrant resection lumpectomy

The minimum wound class for breast surgery is clean

B27 Total excision of breast (Clean)

Note: Use a supplementary code for removal of lymph node (T85-T87) B27.1 Total mastectomy and excision of both pectoral muscles and part of chest wall B27.2 Total mastectomy and excision of both pectoral muscles NEC B27.3 Total mastectomy and excision of pectoralis minor muscle B27.4 Total mastectomy NEC Includes: Simple mastectomy B27.5 Subcutaneous mastectomy B27.6 Skin sparing mastectomy B27.8 Other specified B27.9 Unspecified Includes: Mastectomy NEC

B28 Other excision of breast (Clean)

Note: Use a supplementary code for removal of lymph node (T85-T87) B28.1 Quadrantectomy of breast B28.2 Partial excision of breast NEC Includes: Wedge excision of breast NEC Wide excision of breast NEC B28.3 Excision of lesion of breast NEC Includes: Lumpectomy of breast NEC B28.4 Re-excision of breast margins B28.6 Excision of accessory breast tissue B28.8 Other specified B28.9 Unspecified

B29 Reconstruction of breast (Clean) *Excludes: Reconstruction of breast using flap of skin of buttock (B38) *Reconstruction of breast using abdominal flap (B39) *Note: Use a supplementary code for insertion of prosthesis for breast (B30.1)

B29.1 Reconstruction of breast using myocutaneous flap of latissimus dorsi muscle B29.2 Reconstruction of breast using local flap of skin NEC B29.3 Reconstruction of breast using flap of skin of abdomen NEC B29.4 Reconstruction of breast using distant flap of skin NEC B29.5 Revision of reconstruction of breast B29.8 Other specified B29.9 Unspecified B30 Prosthesis for breast (Clean) Excludes: Augmentation mammoplasty (B31.2)

B30.1 Insertion of prosthesis for breast B30.2 Revision of prosthesis for breast B30.3 Removal of prosthesis for breast B30.4 Renewal of prosthesis for breast B30.8 Other specified B30.9 Unspecified


The minimum wound class for breast surgery is clean

B31 Other plastic operations on breast (Clean)

B31.1 Reduction mammoplasty B31.2 Augmentation mammoplasty B31.3 Mastopexy B31.4 Revision of mammoplasty B31.8 Other specified B31.9 Unspecified B38 Reconstruction of breast using flap of skin of buttock (Clean)

Note: Use a supplementary code for insertion of prosthesis for breast (B30.1)

B38.1 Reconstruction of breast using free superior gluteal artery perforator flap B38.2 Reconstruction of breast using free inferior gluteal artery perforator flap B38.8 Other specified B38.9 Unspecified B39 Reconstruction of breast using abdominal flap (Clean)

Excludes: Reconstruction of breast using flap of skin of abdomen NEC (B29.3) Note: Use a supplementary code for insertion of prosthesis for breast (B30.1)

B39.1 Reconstruction of breast using free transverse rectus abdominis myocutaneous flap B39.2 Reconstruction of breast using pedicled transverse rectus abdominis myocutaneous flap B39.3 Reconstruction of breast using free deep inferior epigastric perforator flap B39.4 Reconstruction of breast using pedicle omental flap B39.5 Reconstruction of breast using free omental flap B39.8 Other specified B39.9 Unspecified O14 Other lymph node (Clean) O14.2 Sentinel lymph node T85 Block dissection of lymph nodes (Clean)

T85.1 Block dissection of cervical lymph nodes T85.2 Block dissection of axillary lymph nodes T85.3 Block dissection of mediastinal lymph nodes T85.4 Block dissection of para-aortic lymph nodes T85.5 Block dissection of inguinal lymph nodes T85.6 Block dissection of pelvic lymph nodes T85.8 Other specified T85.9 Unspecified T86 Sampling of lymph nodes (Clean)

Note: Use subsidiary code for sentinel lymph node (O14.2 (Z)) T86.1 Sampling of cervical lymph nodes T86.2 Sampling of axillary lymph nodes T86.3 Sampling of supraclavicular lymph nodes T86.4 Sampling of internal mammary lymph nodes T86.5 Sampling of mediastinal lymph nodes T86.6 Sampling of para-aortic lymph nodes T86.7 Sampling of inguinal lymph nodes T86.8 Other specified T86.9 Unspecified T87 Excision or biopsy of lymph node (Clean)

Note: Use subsidiary code for sentinel lymph node (O14.2 (Z))

T87.1 Excision or biopsy of scalene lymph node T87.2 Excision or biopsy of cervical lymph node NEC T87.3 Excision or biopsy of axillary lymph node Includes: Excision or biopsy of supraclavicular lymph node NEC T87.4 Excision or biopsy of mediastinal lymph node T87.5 Excision or biopsy of para-aortic lymph node T87.6 Excision or biopsy of porta hepatis lymph node T87.7 Excision or biopsy of inguinal lymph node T87.8 Other specified T87.9 Unspecified


Cardiac Surgery

The minimum wound class for cardiac surgery is clean

K04 Repair of tetralogy of Fallot (Clean) Includes: Fallot-type pulmonary atresia with ventricular septal defect K04.1 Repair of tetralogy of Fallot using valved right ventricular outflow conduit K04.2 Repair of tetralogy of Fallot using right ventricular outflow conduit NEC K04.3 Repair of tetralogy of Fallot using transannular patch Includes: Repair of tetralogy of Fallot using right ventricular outflow patch K04.4 Revision of repair of tetralogy of Fallot K04.5 Repair of tetralogy of Fallot with absent pulmonary valve K04.6 Repair of Fallot-type pulmonary atresia with aortopulmonary collaterals K04.8 Other specified K04.9 Unspecified K05 Atrial inversion operations for transposition of great arteries (Clean) K05.1 Reconstruction of atrium using atrial patch for transposition of great arteries K05.2 Reconstruction of atrium using atrial wall for transposition of great arteries K05.8 Other specified K05.9 Unspecified K06 Other repair of transposition of great arteries (Clean) Includes: Repair of transposition of great arteries with ventricular septal defect Repair of transposition of great arteries with left ventricular outflow tract Obstruction Repair of congenitally corrected transposition of great arteries K06.1 Repositioning of transposed great arteries Includes: Arterial switch procedure K06.2 Left ventricle to aorta tunnel with right ventricle to pulmonary trunk direct anastomosis K06.3 Left ventricle to aorta tunnel with right ventricle to pulmonary artery valved conduit K06.4 Atrial inversion and repositioning of transposed great artery Includes: Double switch procedure K06.8 Other specified K06.9 Unspecified K07 Correction of total anomalous pulmonary venous connection (Clean) K07.1 Correction of total anomalous pulmonary venous connection to supracardiac vessel K07.2 Correction of total anomalous pulmonary venous connection to coronary sinus K07.3 Correction of total anomalous pulmonary venous connection to infradiaphragmatic vessel K07.8 Other specified K07.9 Unspecified K08 Repair of double outlet ventricle (Clean) K08.1 Repair of double outlet right ventricle with intraventricular tunnel K08.2 Repair of Fallot-type double outlet right ventricle K08.3 Repair of double outlet right ventricle K08.4 Repair of double outlet left ventricle K08.8 Other specified K08.9 Unspecified K09 Repair of defect of atrioventricular septum (Clean) K09.1 Repair of defect of atrioventricular septum using dual prosthetic patches K09.2 Repair of defect of atrioventricular septum using prosthetic patch NEC K09.3 Repair of defect of atrioventricular septum using tissue graft K09.4 Repair of persistent ostium primum K09.5 Primary repair of defect of atrioventricular septum NEC K09.6 Revision of repair of defect of atrioventricular septum K09.8 Other specified K09.9 Unspecified

Open chest procedures on the valves or septum of heart; does not include coronary artery bypass graft, surgery on vessels, heart transplantation, or pacemaker implantation.



K10 Repair of defect of interatrial septum (Clean) Excludes: When associated with repair of tetralogy of Fallot (K04) Percutaneous transluminal repair of defect of interatrial septum (K13.3, K13.4) K10.1 Repair of defect of interatrial septum using prosthetic patch K10.2 Repair of defect of interatrial septum using pericardial patch K10.3 Repair of defect of interatrial septum using tissue graft NEC K10.4 Primary repair of defect of interatrial septum NEC K10.5 Revision of repair of defect of interatrial septum K10.8 Other specified K10.9 Unspecified K11 Repair of defect of interventricular septum (Clean) Excludes: When associated with repair of tetralogy of Fallot (K04) Percutaneous transluminal repair of defect of interventricular septum (K13.1, K13.2)

K11.1 Repair of defect of interventricular septum using prosthetic patch K11.2 Repair of defect of interventricular septum using pericardial patch K11.3 Repair of defect of interventricular septum using tissue graft NEC K11.4 Primary repair of defect of interventricular septum NEC K11.5 Revision of repair of defect of interventricular septum K11.6 Repair of multiple interventricular septal defects K11.7 Repair of interventricular septal defect using intraoperative transluminal prosthesis K11.8 Other specified K11.9 Unspecified K12 Repair of defect of unspecified septum of heart (Clean) Excludes: When associated with repair of tetralogy of Fallot (K04) Percutaneous transluminal repair of defect of unspecified septum (K13.5–K13.9) K12.1 Repair of defect of septum of heart using prosthetic patch NEC K12.2 Repair of defect of septum of heart using pericardial patch NEC K12.3 Repair of defect of septum of heart using tissue graft NEC K12.4 Primary repair of defect of septum of heart NEC K12.5 Revision of repair of septum of heart NEC K12.8 Other specified K12.9 Unspecified K14 Other open operations on septum of heart (Clean) K14.1 Open enlargement of defect of atrial septum K14.2 Open atrial septostomy Includes: Open atrial septal fenestration Atrial septostomy NEC K14.3 Atrial septectomy K14.4 Surgical atrial septation K14.5 Open enlargement of defect of interventricular septum K14.8 Other specified K14.9 Unspecified K17 Repair of univentricular heart (Clean) K17.1 Total cavopulmonary connection with extracardiac inferior caval vein to pulmonary artery conduit K17.2 Total cavopulmonary connection with lateral atrial tunnel K17.3 Aortopulmonary reconstruction with systemic to pulmonary arterial shunt Includes: Primary palliation of hypoplastic left heart syndrome K17.4 Aortopulmonary reconstruction with right ventricle to pulmonary arterial valveless conduit Includes: Primary palliation of hypoplastic left heart K17.5 Biventricular repair of hypoplastic left heart syndrome K17.6 Takedown of total cavopulmonary connection K17.7 Conversion of atrial pulmonary anastomosis to total pulmonary connection K17.8 Other specified K17.9 Unspecified


The minimum wound class for cardiac surgery is clean K18 Creation of valved cardiac conduit (Clean) Excludes: When associated with repair of tetralogy of Fallot (K04)

K18.1 Creation of valved conduit between atrium and ventricle of heart K18.2 Creation of valved conduit between right atrium and pulmonary artery K18.3 Creation of valved conduit between right ventricle of heart and pulmonary artery K18.4 Creation of valved conduit between left ventricle of heart and aorta K18.5 Revision of valved cardiac conduit K18.6 Creation of valved conduit between left ventricle of heart and pulmonary artery K18.7 Replacement of valved cardiac conduit K18.8 Other specified K18.9 Unspecified K19 Creation of other cardiac conduit (Clean) Excludes: When associated with repair of tetralogy of Fallot (K04) K19.1 Creation of conduit between atrium and ventricle of heart NEC K19.2 Creation of conduit between right atrium and pulmonary artery NEC K19.3 Creation of conduit between right ventricle of heart and pulmonary artery NEC K19.4 Creation of conduit between right ventricle of heart and vena cava K19.5 Creation of conduit between left ventricle of heart and aorta NEC K19.6 Revision of cardiac conduit NEC K19.8 Other specified K19.9 Unspecified K20 Refashioning of atrium (Clean) K20.1 Correction of persistent sinus venosus K20.2 Correction of partial anomalous pulmonary venous drainage K20.3 Repair of cor triatriatum K20.4 Repair of coronary sinus abnormality K20.8 Other specified K20.9 Unspecified K22 Other operations on wall of atrium (Clean) Excludes: Operations on coronary artery (K40-K51) or conducting system of heart (K52, K57, K58) K22.1 Excision of lesion of atrium K22.2 Repair of atrium NEC K22.8 Other specified K22.9 Unspecified K23 Other operations of wall of heart (Clean) Excludes: Operations on coronary artery (K40–K51) or conducting system of heart (K52, K57–K58) K23.1 Excision of lesion of wall of heart NEC Includes: Excision of lesion of ventricle of heart K23.2 Biopsy of lesion of wall of heart Includes: Biopsy of wall of heart Biopsy of lesion of heart NEC Biopsy of heart NEC K23.3 Repair of wall of heart NEC K23.5 Partial left ventriculectomy K23.6 Cardiomyoplasty K23.8 Other specified K23.9 Unspecified K24 Other operations on ventricles of heart (Clean) K24.1 Relief of right ventricular outflow tract obstruction K24.2 Repair of double chambered right ventricle K24.3 Repair of right ventricular aneurysm K24.4 Repair of left ventricular aneurysm K24.5 Relief of left ventricular outflow tract obstruction K24.6 Myectomy of left ventricular outflow tract K24.7 Myotomy of left ventricular outflow tract



K24.8 Other specified K24.9 Unspecified K25 Plastic repair of mitral valve (Clean) Excludes: Annuloplasty of mitral valve (K34.1) K25.1 Allograft replacement of mitral valve K25.2 Xenograft replacement of mitral valve K25.3 Prosthetic replacement of mitral valve K25.4 Replacement of mitral valve NEC K25.5 Mitral valve repair NEC Includes: Mitral valvuloplasty NEC K25.8 Other specified K25.9 Unspecified K26 Plastic repair of aortic valve (Clean) Note: Use as a supplementary code for concurrent multiple replacement of valves of heart (e.g. K25) K26.1 Allograft replacement of aortic valve K26.2 Xenograft replacement of aortic valve K26.3 Prosthetic replacement of aortic valve K26.4 Replacement of aortic valve NEC K26.5 Aortic valve repair NEC Includes: Aortic valvuloplasty NEC K26.8 Other specified K26.9 Unspecified K27 Plastic repair of tricuspid valve (Clean) K27.1 Allograft replacement of tricuspid valve K27.2 Xenograft replacement of tricuspid valve K27.3 Prosthetic replacement of tricuspid valve K27.4 Replacement of tricuspid valve NEC K27.5 Repositioning of tricuspid valve K27.6 Tricuspid valve repair NEC Includes: Tricuspid valvuloplasty NEC K27.8 Other specified K27.9 Unspecified K28 Plastic repair of pulmonary valve (Clean) K28.1 Allograft replacement of pulmonary valve K28.2 Xenograft replacement of pulmonary valve K28.3 Prosthetic replacement of pulmonary valve K28.4 Replacement of pulmonary valve NEC K28.5 Pulmonary valve repair NEC Includes: Pulmonary valvuloplasty NEC K28.8 Other specified K28.9 Unspecified K29 Plastic repair of unspecified valve of heart (Clean) Includes: Plastic repair of other specified valve of heart K29.1 Allograft replacement of valve of heart NEC K29.2 Xenograft replacement of valve of heart NEC K29.3 Prosthetic replacement of valve of heart NEC K29.4 Replacement of valve of heart NEC K29.5 Repair of valve of heart NEC Includes: Valvuloplasty of heart NEC K29.6 Truncal valve repair Includes: Truncal valvuloplasty K29.7 Replacement of truncal valve K29.8 Other specified K29.9 Unspecified



K30 Revision of plastic repair of valve of heart (Clean) Includes: Revision of replacement of valve of heart K30.1 Revision of plastic repair of mitral valve K30.2 Revision of plastic repair of aortic valve K30.3 Revision of plastic repair of tricuspid valve K30.4 Revision of plastic repair of pulmonary valve K30.5 Revision of plastic repair of truncal valve K30.8 Other specified K30.9 Unspecified K31 Open incision of valve of heart (Clean) Includes: Incision of valve of heart NEC K31.1 Open mitral valvotomy K31.2 Open aortic valvotomy K31.3 Open tricuspid valvotomy K31.4 Open pulmonary valvotomy K31.5 Open truncal valvotomy K31.8 Other specified K31.9 Unspecified Includes: Valvotomy NEC K32 Closed incision of valve of heart (Clean) K32.1 Closed mitral valvotomy K32.2 Closed aortic valvotomy K32.3 Closed tricuspid valvotomy K32.4 Closed pulmonary valvotomy K32.8 Other specified K32.9 Unspecified K34 Other open operations on valve of heart (Clean) K34.1 Annuloplasty of mitral valve K34.2 Annuloplasty of tricuspid valve K34.3 Annuloplasty of valve of heart NEC K34.4 Excision of vegetations of valve of heart Excludes: Open excision of vegetations of heart NEC (K55.4) K34.5 Closure of tricuspid valve K34.6 Closure of pulmonary valve K34.8 Other specified K34.9 Unspecified K36 Excision of valve of heart (Clean) K36.1 Tricuspid valvectomy K36.2 Pulmonary valvectomy K36.8 Other specified K36.9 Unspecified K67 Excision of pericardium (Clean) K67.1 Excision of lesion of pericardium K67.8 Other specified K67.9 Unspecified K69 Incision of pericardium (Clean) K69.1 Freeing of adhesions of pericardium K69.2 Fenestration of pericardium K69.8 Other specified K69.9 Unspecified


Cholecystectomy (non-laparoscopic) without exploration of bile duct

Partial or total excision of the gall bladder, excluding laparoscopic approach and procedures involving exploration of the bile duct.

The minimum wound class is shown in brackets by group name

Excision of gall bladder without exploration of bile duct (Clean-contaminated) Includes: Cholecystectomy without exploration of bile duct

Excludes: Cholecystectomy with exploration of bile duct (J18.2 and J18.4 these are included in bile duct liver or pancreas surgery category)

J18.1 Total cholecystectomy and excision of surrounding tissue J18.3 Total cholecystectomy not elsewhere classified J18.5 Partial cholecystectomy not elsewhere classified J18.8 Other specified excision of gall bladder J18.9 Unspecified excision of gall bladder


Coronary artery bypass graft

Open chest procedure to perform direct revascularization of heart, for example, using suitable vein from leg for grafting, internal mammary artery, etc.

The minimum wound class for coronary artery bypass graft is clean

K40 Saphenous vein graft replacement of coronary artery (Clean)

K40.1 Saphenous vein graft replacement of one coronary artery K40.2 Saphenous vein graft replacement of two coronary arteries K40.3 Saphenous vein graft replacement of three coronary arteries K40.4 Saphenous vein graft replacement of four or more coronary arteries K40.8 Other specified saphenous vein graft replacement of coronary artery K40.9 Unspecified saphenous vein graft replacement of coronary artery K41 Other autograft replacement of coronary artery (Clean)

K41.1 Autograft replacement of one coronary artery not elsewhere classified K41.2 Autograft replacement of two coronary arteries not elsewhere classified K41.3 Autograft replacement of three coronary arteries not elsewhere classified K41.4 Autograft replacement of four or more coronary arteries not elsewhere classified K41.8 Other specified autograft replacement of coronary artery K41.9 Unspecified other autograft replacement of coronary artery K43 Prosthetic replacement of coronary artery (Clean)

K43.1 Prosthetic replacement of one coronary artery K43.2 Prosthetic replacement of two coronary arteries K43.3 Prosthetic replacement of three coronary arteries K43.4 Prosthetic replacement of four or more coronary arteries K43.8 Other specified prosthetic replacement of coronary artery K43.9 Unspecified prosthetic replacement of coronary artery K44 Other replacement of coronary artery (Clean) Includes: Coronary artery bypass graft not elsewhere classified

K44.1 Replacement of coronary arteries using multiple methods K44.2 Revision of replacement of coronary artery K44.8 Other specified other replacement of coronary artery K44.9 Unspecified other replacement of coronary artery K45 Connection of thoracic artery to coronary artery (Clean)

K45.1 Double anastomosis of mammary arteries to coronary arteries K45.2 Double anastomosis of thoracic arteries to coronary arteries not elsewhere classified K45.3 Anastomosis of mammary artery to left anterior descending coronary artery K45.4 Anastomosis of mammary artery to coronary artery not elsewhere classified K45.5 Anastomosis of thoracic artery to coronary artery not elsewhere classified K45.6 Revision of connection of thoracic artery to coronary artery K45.8 Other specified connection of thoracic artery to coronary artery K45.9 Unspecified connection of thoracic artery to coronary artery K46 Other bypass of coronary artery (Clean) Excludes: Coronary artery bypass graft (K40-K44)

K46.1 Double implantation of mammary arteries into heart K46.2 Double implantation of thoracic arteries into heart not elsewhere classified K46.3 Implantation of mammary artery into heart not elsewhere classified K46.4 Implantation of thoracic artery into heart not elsewhere classified K46.5 Revision of implantation of thoracic artery into heart K46.8 Other specified other bypass of coronary artery K46.9 Unspecified other bypass of coronary artery


Cranial Surgery

Incision through the skull to excise, repair, or explore the brain; does not include taps or punctures

Note: Use a subsidiary code to identify method of image control (Y53) Use a subsidiary code for minimal access approach (Y76)

Y53.1 Approach to organ under radiological control Y53.2 Approach to organ under ultrasonic control Y53.3 Approach to organ under computed tomography scan control Y53.4 Approach to organ under fluoroscopic control Y53.5 Approach to organ under image intensifier Y53.6 Approach to organ under video control Y53.7 Approach to organ under magnetic resonance imaging control Y53.8 Other specified approach to organ under image control Y53.9 Unspecified approach to organ under image control Y76.1 Functional endoscopic sinus surgery Y76.2 Functional endoscopic nasal surgery Y76.3 Endoscopic approach to other body cavity Y76.4 Endoscopic ultrasonic approach to other body cavity Y76.5 Robotic assisted minimal access approach to other body cavity Y76.6 Endonasal endoscopic approach to other body cavity Y76.7 Arthroscopic approach to joint Y76.8 Other specified minimal access to other body cavity Y76.9 Unspecified minimal access to other body cavity

The minimum wound class for cranial surgery is clean

A01 Major excision of tissue of brain (Clean) A01.1 Hemispherectomy A01.2 Total lobectomy of brain A01.3 Partial lobectomy of brain A01.8 Other specified A01.9 Unspecified A02 Excision of lesion of tissue of brain (Clean) A02.1 Excision of lesion of tissue of frontal lobe of brain A02.2 Excision of lesion of tissue of temporal lobe of brain A02.3 Excision of lesion of tissue of parietal lobe of brain A02.4 Excision of lesion of tissue of occipital lobe of brain A02.5 Excision of lesion of tissue of cerebellum A02.6 Excision of lesion of tissue of brain stem A02.8 Other specified A02.9 Unspecified A04 Open biopsy of lesion of tissue of brain (Clean) Includes: Tissue of brain A04.1 Open biopsy of lesion of tissue of frontal lobe of brain A04.2 Open biopsy of lesion of tissue of temporal lobe of brain A04.3 Open biopsy of lesion of tissue of parietal lobe of brain A04.4 Open biopsy of lesion of tissue of occipital lobe of brain A04.5 Open biopsy of lesion of tissue of cerebellum A04.6 Open biopsy of lesion of tissue of brain stem A04.8 Other specified A04.9 Unspecified A05 Drainage of lesion of tissue of brain (Clean) Excludes: Drainage of subarachnoid space of brain (A22.1) Drainage of extradural space (A40) A05.1 Drainage of abscess of tissue of brain A05.2 Evacuation of haematoma from temporal lobe of brain


A05.3 Evacuation of haematoma from cerebellum A05.4 Evacuation of intracerebral haematoma NEC A05.8 Other specified A05.9 Unspecified A07 Other open operations on tissue of brain (Clean) A07.1 Open division of tissue of brain A07.2 Removal of foreign body from tissue of brain A07.3 Exploration of tissue of brain A07.4 Excision of abscess of tissue of brain A07.5 Multiple subpial transections A07.6 Complete callosotomy A07.7 Partial callosotomy A07.8 Other specified A07.9 Unspecified The minimum wound class for cranial surgery is clean

A09 Neurostimulation of brain (Clean) Includes: Neurostimulation of brainstem A09.1 Implantation of neurostimulator into brain A09.2 Maintenance of neurostimulator in brain A09.3 Removal of neurostimulator from brain A09.4 Operation on neurostimulator in brain NEC A09.5 Insertion of neurostimulator electrodes into the brain A09.8 Other specified A09.9 Unspecified A10 Other operations on tissue of brain (Clean) Note: Principal category, extended at A11 A10.1 Leucotomy NEC A10.6 Insertion of carmustine wafers in neoplasm of tissue of brain A11 Operations on tissue of brain (Clean) Note: Principal A10 A11.1 Placement of depth electrodes for electroencephalography A11.2 Placement of surface electrodes for electroencephalography A11.3 Monitoring of pressure in tissue of brain Excludes: Monitoring of pressure in ventricle of brain (A20.3) A11.8 Other specified A11.9 Unspecified A38 Extirpation of lesion of meninges of brain (Clean) Note: Principal category, extended at A43 A38.1 Extirpation of lesion of meninges of cortex of brain A38.2 Extirpation of lesion of meninges of sphenoidal ridge of cranium A38.3 Extirpation of lesion of meninges of subfrontal region of brain A38.4 Extirpation of lesion of meninges of parasagittal region of brain A38.5 Extirpation of lesion of falx cerebri A38.6 Extirpation of lesion of tentorium cerebelli A38.8 Other specified A38.9 Unspecified A39 Repair of dura (Clean) A39.1 Repair of meningoencephalocele A39.2 Repair of dura of anterior fossa of cranium A39.3 Repair of dura of middle fossa of cranium A39.4 Repair of dura of posterior fossa of cranium A39.5 Repair of dura of vault of cranium A39.8 Other specified A39.9 Unspecified


A40 Drainage of extradural space (Clean) A40.1 Evacuation of extradural haematoma A40.8 Other specified A40.9 Unspecified drainage of extradural space A41 Drainage of subdural space (Clean) A41.1 Evacuation of subdural haematoma A41.2 Drainage of abscess of subdural space A41.8 Other specified A41.9 Unspecified A42 Other operations on meninges of brain (Clean) A42.1 Creation of anastomosis of dura A42.2 Biopsy of lesion of meninges of brain A42.8 Other specified A42.9 Unspecified The minimum wound class for cranial surgery is clean

A43 Other extirpation of lesion of meninges of brain (Clean) Note: Principal A38 A43.1 Extirpation of lesion of meninges of skull base A43.2 Extirpation of lesion of meninges of skull clivus A43.8 Other specified A43.9 Unspecified B01 Excision of pituitary gland (Clean) B01.1 Transethmoidal hypophysectomy B01.2 Trans-sphenoidal hypophysectomy B01.3 Trans-septal hypophysectomy B01.4 Transcranial hypophysectomy B01.8 Other specified B01.9 Unspecified Includes: Hypophysectomy NEC B02 Destruction of pituitary gland (Clean) B02.1 Cryotherapy to pituitary gland B02.2 Implantation of radioactive substance into pituitary gland Note: Use an additional code to specify radiotherapy delivery (X65) B02.3 Injection of destructive substance into pituitary gland NEC B02.8 Other specified B02.9 Unspecified B04 Other operations on pituitary gland (Clean) Includes: Pituitary stalk (B04.5) B04.1 Excision of lesion of pituitary gland B04.2 Biopsy of lesion of pituitary gland Includes: Biopsy of pituitary gland B04.3 Decompression of pituitary gland B04.4 Exploration of pituitary gland B04.5 Operations on pituitary stalk B04.8 Other specified B04.9 Unspecified B06 Operations on pineal gland (Clean) B06.1 Excision of pineal gland B06.8 Other specified B06.9 Unspecified L33 Operations on aneurysm of cerebral artery (Clean) Includes: Artery of circle of Willis


L33.1 Excision of aneurysm of cerebral artery L33.2 Clipping of aneurysm of cerebral artery L33.3 Ligation of aneurysm of cerebral artery NEC L33.4 Obliteration of aneurysm of cerebral artery NEC L33.8 Other specified L33.9 Unspecified L34 Other open operations on cerebral artery (Clean) Includes: Artery of circle of Willis

L34.1 Reconstruction of cerebral artery L34.2 Anastomosis of cerebral artery L34.3 Open embolectomy of cerebral artery

Includes: Open thrombectomy of cerebral artery Embolectomy of cerebral artery NEC Thrombectomy of cerebral artery NEC

L34.4 Open embolisation of cerebral artery L34.8 Other specified L34.9 Unspecified

Bones and Joints of Skull and Spine The minimum wound class for cranial surgery is clean

V01 Plastic repair of cranium (Clean)

V01.1 Cranioplasty using prosthesis

V01.2 Cranioplasty using bone graft

V01.3 Opening of suture of cranium

V01.4 Removal of prosthesis from cranium

V01.5 Revision of cranioplasty NEC

V01.6 Strip craniectomy

V01.7 Strip craniectomy with remodelling of cranial bones HFQ

V01.8 Other specified

V01.9 Unspecified V03 Opening of cranium (Clean) Note: Do not use as approach code (Y46, Y47)

V03.1 Exploratory open craniotomy Includes: Open craniotomy V03.2 Re opening of cranium and re-exploration of intracranial operation site and surgical arrest of

postoperative bleeding V03.3 Re opening of cranium and re-exploration of intracranial operation site NEC V03.4 Re opening of cranium NEC V03.5 Trephine of cranium V03.6 Exploratory burrhole of cranium V03.7 Decompressive craniectomy V03.8 Other specified V03.9 Unspecified Includes: Exploratory craniotomy NEC Craniotomy NEC V04 Reshaping of cranium (Clean)

V04.1 Fitting dynamic cranioplasty bands V04.8 Other specified V04.9 Unspecified V05 Other operations on cranium (Clean)

V05.1 Extirpation of lesion of cranium V05.4 Repair of fracture of cranium NEC V05.5 Graft of bone to cranium V05.6 Transpetrous excision of lesion of jugular foramen V05.7 Hemicraniotomy V05.8 Other specified V05.9 Unspecified


Gastric Surgery

Incision, excision or anastomosis of stomach, including partial or total gastrectomy, vagotomy, pyloromyotomy, pyloroplasty and gastroenterostomy.

These can be included in the surveillance using the following Y75.codes as a secondary code to indicate the laparoscopic approach For example, a laparoscopic assisted Oesophagogastrectomy and anastomosis of oesophagus to stomach would be given a primary procedure code of G01.1 and a secondary code of Y75.1.


Y75.1 Laparoscopically assisted approach to the abdominal cavity Y75.2 Laparoscopic approach to the abdominal cavity not elsewhere classified. A27 Extracranial extirpation of vagus nerve (vagotomy) * (Clean)

A27.1 Extracranial truncal vagotomy Includes: Truncal vagotomy A27.2 Proximal gastric vagotomy Includes: Highly selective vagotomy and parietal cell vagotomy A27.3 Selective extracranial vagotomy not elsewhere classified Includes: Selective vagotomy not elsewhere classified A27.8 Other specified A27.9 Unspecified Includes: Vagotomy not elsewhere

*Note: For vagotomy as a single procedure the minimum wound class is clean. For vagotomy associated with concurrent gastroenterostomy or incision of pylorus, the minimum

wound class is clean-contaminated. G01 Excision of oesophagus and stomach (oesophagogastrectomy) (Clean-contaminated)

G01.1 Oesophagogastrectomy and anastomosis of oesophagus to stomach G01.2 Oesophagogastrectomy and anastomosis of oesophagus to transposed jejunum G01.3 Oesophagogastrectomy and anastomosis of oesophagus to jejunum not elsewhere classified G01.8 Other specified G01.9 Unspecified G24 Antireflux operation (Clean-contaminated)

G24.1 Antireflux fundoplication using thoracic approach G24.2 Antireflux operation using thoracic approach not elsewhere classified G24.3 Antireflux fundoplication using abdominal approach G24.4 Antireflux gastropexy G24.5 Gastroplasty and antireflux procedure however further qualified G24.6 Insertion of angelchick prosthesis G24.8 Other specified G24.9 Unspecified G25 Revision of antireflux operations (Clean-contaminated)

G25.1 Revision of fundoplication of stomach G25.2 Adjustment to angelchick prosthesis G25.3 Removal of angelchick prosthesis G25.8 Other specified G25.9 Unspecified G27 Total excision of stomach (total gastrectomy) (Clean-contaminated)

G27.1 Total gastrectomy and excision of surrounding tissue G27.2 Total gastrectomy and anastomosis of oesophagus to duodenum G27.3 Total gastrectomy and interposition of jejunum G27.4 Total gastrectomy and anastomosis of oesophagus to transposed jejunum G27.5 Total gastrectomy and anastomosis of oesophagus to jejunum not elsewhere classified G27.8 Other specified total excision of stomach G27.9 Unspecified total excision of stomach



G28 Partial excision of stomach (partial gastrectomy) (Clean-contaminated)

G28.1 Partial gastrectomy and anastomosis of stomach to duodenum G28.2 Partial gastrectomy and anastomosis of stomach to transposed jejunum G28.3 Partial gastrectomy and anastomosis of stomach to jejunum not elsewhere classified G28.4 Sleeve gastrectomy and duodenal switch G28.5 Sleeve gastrectomy NEC G28.8 Other specified partial excision of stomach G28.9 Unspecified partial excision of stomach Includes: Gastrectomy not elsewhere classified G30 Plastic operations on stomach (Clean-contaminated)

G30.1 Gastroplasty not elsewhere classified G30.2 Partitioning of stomach G30.3 Partitioning of stomach using band G30.4 Partitioning of stomach using staples G30.8 Other specified plastic operations on the stomach G30.9 Unspecified plastic operations on the stomach G31 Connection of stomach to duodenum (Clean-contaminated) Excludes: Connection of stomach to duodenum when associated with concurrent excision of

stomach (G27.2 and G28.1)

G31.1 Bypass of stomach by anastomosis of oesophagus to duodenum G31.2 Bypass of stomach by anastomosis of stomach to duodenum G31.3 Revision of anastomosis of stomach to duodenum G31.4 Conversion to anastomosis of stomach to duodenum G31.5 Closure of connection of stomach to duodenum G31.6 Attention to connection of stomach to duodenum G31.8 Other specified connection of stomach to duodenum G31.9 Unspecified connection of stomach to duodenum G31.0 Conversion from previous anastomosis of stomach to duodenum G32 Connection of stomach to transposed jejunum (Clean-contaminated) Excludes: Connection of stomach to transposed jejunum when associated with concurrent

excision of stomach (G27.4 and G28.2)

G32.1 Bypass of stomach by anastomosis of stomach to transposed jejunum G32.2 Revision of anastomosis of stomach to transposed jejunum G32.3 Conversion to anastomosis of stomach to transposed jejunum G32.4 Closure of connection of stomach to transposed jejunum G32.5 Attention to connection of stomach to transposed jejunum G32.8 Other specified connection of stomach to transposed jejunum G32.9 Unspecified connection of stomach to transposed jejunum G32.0 Conversion from previous anastomosis of stomach to transposed duodenum G33 Other connection of stomach to jejunum (Clean-contaminated) Excludes: Connection of stomach to jejunum when associated with concurrent excision of

stomach not elsewhere classified (G27.5 and G28.3)

G33.1 Bypass of stomach by anastomosis of stomach to jejunum not elsewhere classified Includes: Gastroenterostomy not elsewhere classified G33.2 Revision of anastomosis of stomach to jejunum not elsewhere classified G33.3 Conversion to anastomosis of stomach to jejunum not elsewhere classified G33.4 Open reduction of intussusception of gastroenterostomy G33.5 Closure of connection of stomach to jejunum NEC G33.6 Attention to connection of stomach to jejunum G33.8 Other specified other connection of stomach to jejunum G33.9 Unspecified other connection of stomach to jejunum G33.0 Conversion from previous anastomosis of stomach to jejunum not elsewhere classified



G35 Operations on ulcer of stomach

G35.1 Closure of perforated ulcer of stomach (Contaminated) G35.2 Closure of ulcer of stomach not elsewhere classified (Clean-contaminated) Includes: Suture of ulcer of stomach not elsewhere classified G35.8 Other specified operations on ulcer of stomach G35.9 Unspecified operations on ulcer of stomach G36 Other repair of stomach

G36.1 Gastropexy not elsewhere classified (Clean-contaminated) G36.2 Closure of perforation of stomach (Contaminated) G36.3 Closure of abnormal opening of stomach not elsewhere classified (Clean-contaminated) G36.8 Other specified other repair of stomach G36.9 Unspecified other repair of stomach G38 Other open operations on stomach

G38.5 Incision of stomach not elsewhere classified (Clean-contaminated) Includes: Gastrotomy not elsewhere classified G38.7 Removal of gastric band G40 Incision of pylorus (Clean-contaminated)

G40.1 Pyloromyotomy G40.2 Repair of congenital atresia of pylorus G40.3 Pyloroplasty not elsewhere classified G40.4 Revision of pylorplasty G40.5 Closure of pylorplasty G40.6 Open dilation of pylorus G40.8 Other specified incision of pylorus G40.9 Unspecified incision of pylorus G41 Repair of perforation of pylorus

G41.2 Repair of perforation of pylorus (Contaminated)


Hip replacement

Replacement of the hip joint, including resurfacing of any part of the joint, revision of a previous replacement and conversion from a previous hemiarthroplasty or bone fixation. Excludes replacement of head of femur alone (see Repair of neck of femur).

The minimum wound class for hip replacement surgery is clean

W37 Total prosthetic replacement of hip joint using cement (Clean)

W37.1 Primary total prosthetic replacement of hip joint using cement W37.2 Conversion to total prosthetic replacement of hip joint using cement W37.3 Revision of total prosthetic replacement of hip joint using cement W37.4 Revision of one component of total prosthetic replacement of hip joint using cement. W37.8 Other specified total prosthetic replacement of hip joint using cement W37.9 Unspecified total prosthetic replacement of hip joint using cement W37.0 Conversion from previous cemented total prosthetic replacement of hip joint W38 Total prosthetic replacement of hip joint not using cement (Clean)

W38.1 Primary total prosthetic replacement of hip joint not using cement W38.2 Conversion to total prosthetic replacement of hip joint not using cement W38.3 Revision of total prosthetic replacement of hip joint not using cement W38.4 Revision of one component of total prosthetic replacement of hip joint not using cement W38.8 Other specified total prosthetic replacement of hip joint not using cement W38.9 Unspecified total prosthetic replacement of hip joint not using cement W38.0 Conversion from previous uncemented total prosthetic replacement of hip joint W39 Other total prosthetic replacement of hip joint (Clean)

W39.1 Primary total prosthetic replacement of hip joint not elsewhere classified W39.2 Conversion to total prosthetic replacement of hip joint not elsewhere classified W39.3 Revision of total prosthetic replacement of hip joint not elsewhere classified W39.5 Revision of one component of total prosthetic replacement of hip joint not elsewhere classified W39.8 Other specified other total prosthetic replacement of hip joint W39.9 Unspecified other total prosthetic replacement of hip joint W39.0 Conversion from previous total prosthetic replacement of hip joint not elsewhere classified

W93 Hybrid prosthetic replacement of hip joint using cemented acetabular component (Clean)

W93.1 Primary hybrid prosthetic replacement of hip joint using cemented acetabular component W93.2 Conversion to hybrid prosthetic replacement of hip joint using cemented acetabular component W93.3 Revision of hybrid prosthetic replacement of hp joint using cemented acetabular component W93.8 Other specified W93.9 Unspecified W93.0 Conversion from previous hybrid prosthetic replacement of hip joint using cemented acetabular

component. W94 Hybrid prosthetic replacement of hip joint using cemented femoral component (Clean)

W94.1 Primary hybrid prosthetic replacement of hip joint using cemented femoral component W94.2 Conversion to hybrid prosthetic replacement of hip joint using cemented femoral component. W94.3 Revision of hybrid prosthetic replacement of hip joint using cemented femoral component. W94.8 Other specified W94.9 Unspecified W94.0 Conversion from previous hybrid prosthetic replacement of hip joint using cemented femoral

component.


The minimum wound class for hip replacement surgery is clean

W95 Hybrid prosthetic replacement of hip joint using cement (Clean) Includes: Hybrid prosthetic replacement of hip joint NEC

W95.1 Primary hybrid prosthetic replacement of hip joint using cement NEC W95.2 Conversion of hybrid prosthetic replacement of hip joint using cement NEC W95.3 Revision of hybrid prosthetic replacement of hip joint using cement NEC W95.4 Attention to hybrid prosthetic replacement of hip joint using cement NEC W95.8 Other specified W95.9 Unspecified W95.0 Conversion from previous hybrid prosthetic replacement of hip joint using cement NEC Resurfacing of hip joint W58 Other reconstruction of joint (Clean) Exclude: Some similar operations for correction of congenital deformity (X19-X27)

W58.1 Primary resurfacing arthroplasty of joint W58.2 Revision of resurfacing arthroplasty of joint W58.8 Other Specified W58.9 Unspecified W58.0 Conversion from previous resurfacing arthroplasty of joint Replacement of acetabulum (Please note that those codes are also used for partial knee replacement procedures.)

W52 Prosthetic replacement of articulation of other bone using cement (Clean) Includes: Prosthetic hemiarthroplasty of articulation of bone using cement not elsewhere

classified W52.1 Primary prosthetic replacement of articulation of bone using cement not elsewhere classified W52.2 Conversions to prosthetic replacement of articulation of bone using cement not elsewhere

classified W52.3 Revision of prosthetic replacement of articulation of bone using cement not elsewhere classified W52.8 Other specified W52.9 Unspecified W52.0 Conversion from previous cemented prosthetic replacement of articulation of bone not elsewhere

classified W53 Prosthetic replacement of articulation of other bone not using cement (Clean) Includes: Prosthetic hemiarthroplasty of articulation of bone not using cement not elsewhere

classified

W53.1 Primary prosthetic replacement of articulation of bone not using cement not elsewhere classified W53.2 Conversions to prosthetic replacement of articulation of bone not using cement not elsewhere

classified W53.3 Revision of prosthetic replacement of articulation of bone not using cement not elsewhere

classified W53.8 Other specified W53.9 Unspecified W53.0 Conversion from previous uncemented prosthetic replacement of articulation of bone not

elsewhere classified W54 Other prosthetic replacement of other bone (Clean) Includes: Prosthetic hemiarthroplasty of articulation of bone not elsewhere classified

W54.1 Primary prosthetic replacement of articulation of bone not elsewhere classified W54.2 Conversion to prosthetic replacement of articulation of bone not elsewhere classified W54.3 Revision of prosthetic replacement of articulation of bone not elsewhere classified W54.8 Other specified W54.9 Unspecified W54.0 Conversion from previous prosthetic replacement of articulation of bone not elsewhere classified


Knee replacement

Replacement of all or part of knee joint (with or without patella resurfacing), including revision of a previous replacement. Patella resurfacing and patella replacement are not included in the surveillance.

The minimum wound class for knee replacement surgery is clean

W40 Total prosthetic replacement of knee joint using cement (Clean)

W40.1 Primary total prosthetic replacement of knee joint using cement W40.2 Conversion to total prosthetic replacement of knee joint using cement W40.3 Revision of total prosthetic replacement of knee joint using cement W40.4 Revision of one component of total prosthetic replacement of knee joint using cement W40.8 Other specified total prosthetic replacement of knee joint using cement W40.9 Unspecified total prosthetic replacement of knee joint using cement W40.0 Conversion from previous cemented total prosthetic replacement of knee joint W41 Total prosthetic replacement of knee joint not using cement (Clean)

W41.1 Primary total prosthetic replacement of knee joint not using cement W41.2 Conversion to total prosthetic replacement of knee joint not using cement W41.3 Revision of total prosthetic replacement of knee joint not using cement W41.4 Revision of one component of total prosthetic replacement of knee joint not using cement. W41.8 Other specified total prosthetic replacement of knee joint not using cement W41.9 Unspecified total prosthetic replacement of knee joint not using cement W41.0 Conversion from previous uncemented total prosthetic replacement of knee joint W42 Other total prosthetic replacement of knee joint (Clean)

W42.1 Primary total prosthetic replacement of knee joint not elsewhere classified W42.2 Conversion to total prosthetic replacement of knee joint not elsewhere classified W42.3 Revision of total prosthetic replacement of knee joint not elsewhere classified W42.8 Other specified W42.9 Unspecified W42.0 Conversion from previous total prosthetic replacement of knee joint not elsewhere classified

Unicompartmental (partial) knee replacements (Clean) W42.5 Revision of one component of total prosthetic replacement of knee joint NEC W52 Prosthetic replacement of articulation of other bone using cement (Clean) Includes: Prosthetic hemiarthroplasty of articulation of bone using cement not elsewhere

classified

W52.1 Primary prosthetic replacement of articulation of bone using cement not elsewhere classified W52.2 Conversions to prosthetic replacement of articulation of bone using cement not elsewhere

classified W52.3 Revision of prosthetic replacement of articulation of bone using cement not elsewhere classified W52.8 Other specified W52.9 Unspecified W52.0 Conversion from previous cemented prosthetic replacement of articulation of bone not elsewhere

classified W53 Prosthetic replacement of articulation of other bone not using cement (Clean) Includes: Prosthetic hemiarthroplasty of articulation of bone not using cement not elsewhere

classified

W53.1 Primary prosthetic replacement of articulation of bone not using cement not elsewhere classified W53.2 Conversions to prosthetic replacement of articulation of bone not using cement not elsewhere

classified W53.3 Revision of prosthetic replacement of articulation of bone not using cement not elsewhere

classified W53.8 Other specified


The minimum wound class for knee replacement surgery is clean

W53.9 Unspecified W53.0 Conversion from previous uncemented prosthetic replacement of articulation of bone not

elsewhere classified W54 Other prosthetic replacement of other bone (Clean) Includes: Prosthetic hemiarthroplasty of articulation of bone not elsewhere classified

W54.1 Primary prosthetic replacement of articulation of bone not elsewhere classified W54.2 Conversion to prosthetic replacement of articulation of bone not elsewhere classified W54.3 Revision of prosthetic replacement of articulation of bone not elsewhere classified W54.8 Other specified W54.9 Unspecified W54.0 Conversion from previous prosthetic replacement of articulation of bone not elsewhere classified

Resurfacing of knee joint W58 Other reconstruction of joint (Clean) Exclude: Some similar operations for correction of congenital deformity (X19-X27)

W58.1 Primary resurfacing arthroplasty of joint W58.2 Revision of resurfacing arthroplasty of joint W58.8 Other specified other reconstruction of joint W58.9 Unspecified other reconstruction of joint W58.0 Conversion from previous resurfacing arthroplasty of joint


Large bowel surgery

Incision, excision or anastomosis of the large bowel, including procedures that involve anastomosis of small to large bowel.

Note: For emergency operations on unprepared bowel, or obstructed bowel, the minimum wound class is contaminated.


These can be included in the surveillance using the following Y75 .codes as a secondary code to indicate the laparoscopic approach For example, a laparoscopic assisted right hemicolectomy would be given a primary procedure code of H07.1 and a secondary code of Y75.1.

Y75.1 Laparoscopically assisted approach to the abdominal cavity. Y75.2 Laparoscopic approach to the abdominal cavity not elsewhere classified. Please see minimum wound class against each procedure

Bypass of small bowel to large bowel Includes: Bypass of small bowel by anastomosis of small bowel to large bowel

G51.4 Bypass of duodenum by anastomosis of duodenum to colon (Clean-contaminated) G58.3 Total jejunectomy and anastomosis of duodenum to colon* G58.5 Partial jejunectomy and anastomosis of duodenum to colon* G61.3 Bypass of jejunum by anastomosis of jejunum to colon (Clean-contaminated) G69.4 Ileectomy and anastomosis of ileum to colon (Clean-contaminated) G71.3 Bypass of ileum by anastomosis of ileum to caecum (Clean-contaminated) G71.4 Bypass of ileum by anastomosis of ileum to transverse colon (Clean-contaminated) G71.5 Bypass of ileum by anastomosis of ileum to colon not elsewhere classified (Clean-

contaminated) Includes: Bypass of ileum by anastomosis of ileum to rectum

*Note: Jejunectomy and anastomosis of duodenum to colon (G58.3, G58.5) are usually emergency operations for ischaemia. The minimum wound class is then contaminated.

G72 Other connection of ileum (Clean-contaminated) Includes: Anastomosis of small bowel to large bowel not elsewhere classified Excludes: When associated with concurrent excision of ileum (G69.4)

G72.1 Anastomosis of ileum to caecum G72.2 Anastomosis of ileum to transverse colon G72.3 Anastomosis of ileum to colon not elsewhere classified G72.4 Anastomosis of ileum to rectum G72.5 Anastomosis of ileum to anus and creation of pouch however further qualified G72.8 Other specified G72.9 Unspecified H04 Total excision of colon and rectum (Clean-Contaminated)

H04.1 Panproctocolectomy and ileostomy Includes: Proctocolectomy not elsewhere classified H04.2 Panproctocolectomy and anastomosis of ileum to anus and creation of pouch however further

qualified H04.3 Panproctocolectomy and anastomosis of ileum to anus not elsewhere classified H04.8 Other specified H04.9 Unspecified H05 Total excision of colon (Clean-Contaminated)

H05.1 Total colectomy and anastomosis of ileum to rectum H05.2 Total colectomy and ileostomy and creation of rectal fistula however further qualified H05.3 Total colectomy and ileostomy not elsewhere classified H05.8 Other specified H05.9 Unspecified



H06 Extended excision of right hemicolon (Clean-Contaminated) Includes: Excision of right colon and other segment of ileum or colon and surrounding tissue

H06.1 Extended right hemicolectomy and end to end anastomosis H06.2 Extended right hemicolectomy and anastomosis of ileum to colon H06.3 Extended right hemicolectomy and anastomosis not elsewhere classified H06.4 Extended right hemicolectomy and ileostomy however further qualified H06.5 Extended right hemicolectomy and end to side anastomosis H06.8 Other specified H06.9 Unspecified H07 Other excision of right hemicolon (Clean-Contaminated) Includes: Limited excision of caecum and terminal ileum caecum

H07.1 Right hemicolectomy and end to end anastomosis of ileum to colon Includes: Ileocaecal resection H07.2 Right hemicolectomy and side to side anastomosis of ileum to transverse colon H07.3 Right hemicolectomy and anastomosis not elsewhere classified H07.4 Right hemicolectomy and ileostomy however further qualified H07.5 Right hemicolectomy and end to side anastomosis H07.8 Other specified H07.9 Unspecified H08 Excision of transverse colon (Clean-Contaminated)

H08.1 Transverse colectomy and end to end anastomosis H08.2 Transverse colectomy and anastomosis of ileum to colon H08.3 Transverse colectomy and anastomosis not elsewhere classified H08.4 Transverse colectomy and ileostomy however further qualified H08.5 Transverse colectomy and exteriorisation of bowel not elsewhere classified* H08.6 Transverse colectomy and end to side anastomosis H08.8 Other specified H08.9 Unspecified

*Note: Use secondary code for exteriorisation of caecum (H14) or other exteriorisation of colon (H15)

H09 Excision of left hemicolon (Clean-Contaminated)

H09.1 Left hemicolectomy and end to end anastomosis of colon to rectum H09.2 Left hemicolectomy and end to end anastomosis of colon to colon H09.3 Left hemicolectomy and anastomosis not elsewhere classified H09.4 Left hemicolectomy and ileostomy however further qualified H09.5 Left hemicolectomy and exteriorisation of bowel not elsewhere classified* H09.6 Left hemicolectomy and end to side anastomosis H09.8 Other specified H09.9 Unspecified


H10 Excision of sigmoid colon (Clean-Contaminated)

H10.1 Sigmoid colectomy and end to end anastomosis of ileum to rectum H10.2 Sigmoid colectomy and anastomosis of colon to rectum H10.3 Sigmoid colectomy and anastomosis not elsewhere classified H10.4 Sigmoid colectomy and ileostomy however further qualified H10.5 Sigmoid colectomy and exteriorisation of bowel not elsewhere classified* H10.6 Sigmoid colectomy and end to side anastomosis H10.8 Other specified H10.9 Unspecified


H11 Other excision of colon (Clean-Contaminated) Includes: Excision of colon where segment removed is not stated

H11.1 Colectomy and end to end anastomosis of colon to colon not elsewhere classified


H11.2 Colectomy and side to side anastomosis of ileum to colon not elsewhere classified H11.3 Colectomy and anastomosis not elsewhere classified H11.4 Colectomy and ileostomy not elsewhere classified H11.5 Colectomy and exteriorisation of bowel not elsewhere classified* H11.6 Colectomy and end to side anastomosis NEC H11.8 Other specified Please see minimum wound class against each procedure

H11.9 Unspecified Includes: Colectomy or hemicolectomy not elsewhere classified


H12 Extirpation of lesion of colon Includes: Caecum

H12.1 Excision of diverticulum of colon (Dirty) H12.2 Excision of lesion of colon to not elsewhere classified H12.3 Destruction of lesion of colon not elsewhere classified H12.8 Other specified H12.9 Unspecified H13 Bypass of colon (Clean-Contaminated) Includes: Caecum Excludes: Bypass of colon when associated with excision of colon (H04-H11)

H13.1 Bypass of colon by anastomosis of ileum to colon H13.2 Bypass of colon by anastomosis of caecum to sigmoid colon H13.3 Bypass of colon by anastomosis of transverse colon to sigmoid colon H13.4 Bypass of colon by anastomosis of transverse colon to rectum H13.5 Bypass of colon by anastomosis of colon to rectum not elsewhere classified H13.8 Other specified H13.9 Unspecified H14 Exteriorisation of caecum (Contaminated)

H14.1 Tube caecostomy H14.2 Refashioning of caecostomy H14.3 Closure of caecostomy H14.8 Other specified H14.9 Unspecified Includes: Caecostomy not elsewhere classified H15 Other exteriorisation of colon Excludes: Dilatation of colostomy (H15.5)

H15.1 Loop colostomy (Clean-Contaminated) H15.2 End colostomy (Clean-Contaminated) H15.3 Refashioning of colostomy (Contaminated) H15.4 Closure of colostomy (Contaminated) H15.6 Reduction of prolapse of colostomy (Clean-Contaminated) H15.8 Other specified H15.9 Unspecified Includes: colostomy not elsewhere classified



H16 Incision of colon (Clean contaminated) Includes: Caecum

H16.1 Drainage of colon Includes: Drainage of pericolonic tissue H16.2 Caecotomy H16.3 Colotomy H16.8 Other specified H16.9 Unspecified H29 Subtotal excision of colon and rectum (Clean contaminated)

H29.1 Subtotal excision of colon and rectum and creation of colonic pouch and anastomosis of colon to anus

H29.2 Subtotal excision of colon and rectum and creation of colonic pouch NEC H29.3 Subtotal excision of colon and creation of colonic pouch and anastomosis of colon to rectum. H29.4 Subtotal excision of colon and creation of colonic pouch NEC H29.8 Other specified subtotal excision of colon H29.9 Unspecified subtotal excision of colon H33 Excision of rectum (Clean contaminated) Includes: Excision of whole or part of rectum with or without part of sigmoid colon

H33.1 Abdominoperineal excision of rectum and end colostomy H33.2 Proctectomy and anastomosis of colon to anus H33.3 Anterior resection of rectum and anastomosis of colon to rectum using staples Includes: Rectosigmoidectomy and anastomosis of colon to rectum H33.4 Anterior resection of rectum and anastomosis not elsewhere classified H33.5 Rectosigmoidectomy and closure of rectal stump and exteriorisation of bowel* H33.6 Anterior resection of rectum and exteriorisation of bowel* H33.7 Perineal resection of rectum HFQ H33.8 Other specified H33.9 Unspecified Includes: Rectosigmoidectomy not elsewhere classified

*Note: Use secondary code for creation of artificial opening into ileum (G74); exteriorisation of caecum (H14) or other exteriorisation of colon (H15)


Limb amputation

Total or partial amputation or disarticulation of the upper or lower limbs, including digits

Note: Amputations where the limb is ischaemic, or where dry gangrene is present should be classified as clean. Amputations through, or adjacent to, an area of acute inflammation (without pus or ulceration) should be classified as contaminated. Amputations adjacent to, or through necrotic ulcers and/or purulent areas should be classified as dirty

X07 Amputation of arm (See note above)

X07.1 Forequarter amputation X07.2 Disarticulation of shoulder X07.3 Amputation of arm above elbow X07.4 Amputation of arm through elbow X07.5 Amputation of arm through forearm X07.8 Other specified X07.9 Unspecified X08 Amputation of hand (See note above)

X08.1 Amputation of hand at wrist X08.2 Amputation of thumb Excludes: Amputation of duplicate thumb (X21.5) X08.3 Amputation of phalanx of finger X08.4 Amputation of finger not elsewhere classified Excludes: Amputation of supernumerary finger (X21.6) X08.8 Other specified X08.9 Unspecified X09 Amputation of leg (See note above)

X09.1 Hindquarter amputation X09.2 Disarticulation of hip X09.3 Amputation of leg above knee X09.4 Amputation of leg through knee X09.5 Amputation of leg below knee X09.8 Other specified X09.9 Unspecified X10 Amputation of foot (See note above)

X10.1 Amputation of foot through ankle X10.2 Disarticulation of tarsal bones X10.3 Disarticulation of metatarsal bones X10.4 Amputation through metatarsal bones X10.8 Other specified X10.9 Unspecified X11 Amputation of toe (See note above) Excludes: Amputation of supernumerary toe (27.3)

X11.1 Amputation of great toe X11.2 Amputation of phalanx of toe X11.8 Other specified X11.9 Unspecified Includes: Disarticulation of toe


Reduction of long bone fracture (humerus, ulna, radius, femur, tibia and fibula)

Includes open or closed reduction of fracture of long bones requiring intramedullary or extramedullary fixation where an incision is made to establish fixation. Excludes: external fixation, hip replacement following fracture, fracture of the neck of femur or open reduction of small bones or intraarticular fracture.

Note: If the fracture is open and the operation is performed within the first 10 hours, the minimum wound class is contaminated. If the operation is performed after 10 hours, the minimum wound class is dirty

The minimum wound class for reduction of long bone surgery is clean

W19 Primary open reduction of fracture of bone and intramedullary fixation* (Clean) Includes: Open reduction of fracture of bone and intramedullary fixation not elsewhere

classified Excludes: Fracture dislocation Primary open reduction of fracture of small bone and fixation using screw (W19.4)

W19.2 Primary open reduction of fracture of long bone and fixation using rigid nail (reamed and locked) not elsewhere classified

W19.3 Primary open reduction of fracture of long bone and fixation using flexible nail (unreamed and locked)

W19.5 Primary open reduction of fragment of bone and fixation using screw W19.6 Primary open reduction of fragment of bone and fixation using wire system W19.8 Other specified W19.9 Unspecified W20 Primary open reduction of fracture of bone and extramedullary fixation (Clean) Includes: Primary open reduction of fracture of bone and fixation not elsewhere classified Open reduction of fracture of bone and extramedullary fixation not elsewhere

classified Open reduction of fracture of bone and fixation not elsewhere classified Excludes: Fracture dislocation (W65) Wiring of sternum (W20.6)

W20.1 Primary open reduction of fracture of long bone and extramedullary fixation using plate not elsewhere classified

W20.2 Primary open reduction of fracture of long bone and extramedullary fixation using circlage W20.3 Primary open reduction of fracture of long bone and extramedullary fixation using suture W20.4 Primary open reduction of fracture of long bone and extramedullary fixation not elsewhere

classified W20.5 Primary open reduction of fracture of ankle and extramedular fixation not elsewhere classified W20.8 Other specified W20.9 Unspecified primary open reduction of fracture of bone and extramedullary fixation W22 Other primary reduction of fracture of bone (Clean) Includes: Open reduction of fracture of bone not elsewhere classified Excludes: Fracture dislocation (W65) W22.1 Primary open reduction of fracture of bone and skeletal traction HFQ W22.2 Primary open reduction of fracture of bone and external fixation HFQ W22.8 Other specified W22.9 Unspecified HFQ – however further qualified


The minimum wound class for reduction of long bone surgery is clean

W23 Secondary open reduction of fracture of bone (Clean) Excludes: Secondary open reduction of intraarticular fracture of bone (W23.3)

W23.1 Secondary open reduction of fracture of bone and intramedullary fixation HFQ W23.2 Secondary open reduction of fracture of bone and extramedullary fixation HFQ W23.4 Secondary open reduction of fracture of bone and skeletal traction HFQ W23.5 Secondary open reduction of fracture of bone and external fixation HFQ W23.6 Secondary open reduction of fracture of bone and internal fixation HFQ W23.8 Other specified W23.9 Unspecified W24 Closed reduction of fracture of bone and internal fixation (Clean)

W24.2 Closed reduction of fracture of long bone and rigid internal fixation NEC W24.3 Closed reduction of fracture of long bone and flexible internal fixation HFQ W24.5 Closed reduction of fragment of bone and fixation using screw HFQ – however further qualified

W24.6 Closed reduction of fracture of bone and fixation using nail or screw


Repair of neck of femur

Includes hemiarthoplasty i.e. replacement of the head of femur only, including revision of a previous hemiarthroplasty (but excluding conversion to total joint replacement) and reduction of fracture of the neck of femur using pin and plate, dynamic hip screw or cannulated screw.

The minimum wound class for repair of neck of femur surgery is clean

W46 Prosthetic replacement of head of femur using cement (Clean) Includes: Prosthetic hemiarthroplasty of head of femur using cement

W46.1 Primary prosthetic replacement of head of femur using cement W46.2 Conversion to prosthetic replacement of head of femur using cement W46.3 Revision of prosthetic replacement of head of femur using cement W46.8 Other specified W46.9 Unspecified W46.0 Conversion from previous cemented prosthetic replacement of head of femur W47 Prosthetic replacement of head of femur not using cement (Clean) Includes: Prosthetic hemiarthroplasty of head of femur not using cement

W47.1 Primary prosthetic replacement of head of femur not using cement W47.2 Conversion to prosthetic replacement of head of femur not using cement W47.3 Revision of prosthetic replacement of head of femur not using cement W47.8 Other specified W47.9 Unspecified W47.0 Conversion from previous uncemented prosthetic replacement of head of femur W48 Other prosthetic replacement of head of femur (Clean) Includes: Prosthetic hemiarthroplasty of head of femur not elsewhere classified

W48.1 Primary prosthetic replacement of head of femur not elsewhere classified W48.2 Conversion to prosthetic replacement of head of femur not elsewhere classified W48.3 Revision of prosthetic replacement of head of femur not elsewhere classified W48.8 Other specified W48.9 Unspecified W48.0 Conversion from previous prosthetic replacement of head of femur not elsewhere classified W19 Reduction of fracture of the neck of femur (Clean)

W19.1 Primary open reduction of fracture of neck of femur and open fixation using pin and plate Includes: Primary open reduction of fracture of neck of femur and open fixation using dynamic hip

screw W24.1 Closed reduction of intracapsular fracture of the neck of femur and fixation using nail or screw


Small bowel surgery

Incision, excision or anastomosis of small intestine, excluding procedures which involve anastomosis of small to large bowel.


These can be included in the surveillance using the following Y75 .codes as a secondary code to indicate the laparoscopic approach For example, a laparoscopic assisted closure of perforated ulcer of duodenum would be given a primary procedure code of G52.1 and a secondary code of Y75.1.

Y75.1 Laparoscopically assisted approach to the abdominal cavity Y75.2 Laparoscopic approach to the abdominal cavity not elsewhere classified. Please see minimum wound class against each procedure

G49 Excision of duodenum (Clean-Contaminated) Excludes: Pancreaticoduodenectomy (J56)

G49.1 Gastroduodenectomy G49.2 Total excision of duodenum G49.3 Partial excision of duodenum G49.8 Other specified G49.9 Unspecified Includes: Duodenectomy not elsewhere classified G50 Open extirpation of lesion of duodenum (Clean-Contaminated)

G50.1 Excision of lesion of duodenum G50.2 Open destruction of lesion of duodenum G50.8 Other specified G50.9 Unspecified G51 Bypass of duodenum (Clean-Contaminated) Excludes: Bypass of duodenum by anastomosis of duodenum to colon (G51.4)

G51.1 Bypass of duodenum by anastomosis of stomach to jejunum G51.2 Bypass of duodenum by anastomosis of duodenum to duodenum G51.3 Bypass of duodenum by anastomosis of duodenum to jejunum G51.8 Other specified G51.9 Unspecified G52 Operations on ulcer of duodenum

G52.1 Closure of perforated ulcer of duodenum (Contaminated) G52.2 Suture of ulcer of duodenum not elsewhere classified (Clean-Contaminated) G52.3 Oversew of blood vessel of duodenal ulcer G52.8 Other specified G52.9 Unspecified G53 Other open operations on duodenum Excludes: Open biopsy of lesion of duodenum (G53.1) Open insertion of tubal prosthesis into duodenum (G53.4) Correction of malrotation of duodenum (G53.6)

G53.2 Closure of perforation of duodenum not elsewhere classified (Contaminated) G53.3 Open removal of foreign body, from duodenum (Clean-Contaminated) G53.5 Incision of duodenum not elsewhere classified Includes: Duodenotomy not elsewhere classified (Clean-Contaminated) G58 Excision of jejunum* (Clean-Contaminated) Excludes: Total jejunectomy and anastomosis of duodenum to colon (G58.3) Partial jejunectomy and anastomosis of duodenum to colon (G58.5)

G58.1 Total jejunectomy and anastomosis of stomach to ileum G58.2 Total jejunectomy and anastomosis of duodenum to ileum G58.4 Partial jejunectomy and anastomosis of jejunum to ileum Includes: Jejunectomy and anastomosis of jejunum to jejunum



G58.8 Other specified G58.9 Unspecified Includes: Jejunectomy not elsewhere classified

*Note: Usually emergency operation for ischaemia. The minimum wound class is then contaminated

G59 Extirpation of lesion of jejunum (Clean-Contaminated)

G59.1 Excision of lesion of jejunum G59.2 Open destruction of lesion of jejunum G59.8 Other specified G59.9 Unspecified G60 Artificial opening into jejunum

G60.1 Creation of jejunostomy (Clean-Contaminated) G60.2 Refashioning of jejunostomy (Contaminated) G60.3 Closure of jejunostomy (Contaminated) G60.8 Other specified G60.9 Unspecified G61 Bypass of jejunum (Clean-Contaminated) Excludes: Bypass of jejunum by anastomosis of jejunum to colon (G61.3)

G61.1 Bypass of jejunum by anastomosis of jejunum to jejunum G61.2 Bypass of jejunum by anastomosis of jejunum to ileum G61.8 Other specified G61.9 Other unspecified G63 Other open operations on jejunum (Clean-Contaminated) Excludes: Open biopsy of lesion of jejunum (G63.1) Open intubation of jejunum (G63.4)

G63.2 Incision of jejunum (Clean-Contaminated) G63.3 Closure of perforation of jejunum (Contaminated) G68.1 Allotransplantation of ileum (Clean-Contaminated)

G68.8 Other specified transplantation of ileum G68.9 Unspecified transplantation of ileum G69 Excision of ileum (Clean-Contaminated) Includes: Small intestine not elsewhere classified Excludes: Ileectomy and anastomosis of ileum to colon (G69.4)

G69.1 Ileectomy and anastomosis of stomach to ileum G69.2 Ileectomy and anastomosis of duodenum to ileum G69.3 Ileectomy and anastomosis of ileum to ileum G69.8 Other specified G69.9 Unspecified Includes: Ileectomy not elsewhere classified G70 Open extirpation of lesion of ileum (Clean-Contaminated) Includes: Small intestine not elsewhere classified

G70.1 Excision of meckel diverticulum G70.2 Excision of lesion of ileum not elsewhere classified G70.3 Open destruction of lesion of ileum G70.8 Other specified G70.9 Unspecified



G71 Bypass of ileum (Clean-Contaminated) Includes: Small intestine not elsewhere classified Excludes: Bypass of ileum by anastomosis of ileum to caecum (G71.3) Bypass of ileum by anastomosis of ileum to transverse colon (G71.4) Bypass of ileum by anastomosis of ileum to colon not elsewhere classified (G71.5)

G71.1 Bypass of ileum by anastomosis of jejunum to ileum G71.2 Bypass of ileum by anastomosis of ileum to ileum G71.6 Duodenal switch G71.8 Other specified G71.9 Unspecified G73 Attention to connection of ileum (Clean-Contaminated) Includes: Small intestine not elsewhere classified

G73.1 Revision of anastomosis of ileum G73.2 Closure of anastomosis of ileum G73.3 Resection of ileostomy G73.4 Resection of ileo-colic anastomosis G73.8 Other specified G73.9 Unspecified G74 Creation of artificial opening into ileum (Clean-Contaminated) Includes: Small intestine not elsewhere classified

G74.1 Creation of continent ileostomy G74.2 Creation of temporary ileosotomy G74.3 Creation of defunctioning ileosotomy Includes: Creation of split ileostomy G74.8 Other specified G74.9 Unspecified G75 Attention to artificial opening into ileum (Clean-Contaminated) Includes: Small intestine not elsewhere classified Excludes: Dilation of ileostomy (G75.4)

G75.1 Refashioning of ileostomy (Contaminated) G75.2 Repair of prolapse of ileostomy (Clean-Contaminated) G75.3 Closure of ileostomy (Contaminated) G75.8 Other specified (Clean-Contaminated) G75.9 Unspecified (Clean-Contaminated) G78 Other open operations on ileum (Clean-Contaminated) Includes: Small intestine not elsewhere classified Excludes: Open biopsy of lesion of ileum (G78.1) Open intubation of ileum (G78.6)

G78.2 Strictureplasty of ileum (Clean-Contaminated) G78.3 Removal of foreign body from ileum (Clean-Contaminated) G78.4 Closure of perforation of ileum (Contaminated) G78.5 Exclusion of segment of ileum (Clean-Contaminated) G78.8 Other specified (Clean-Contaminated) G78.9 Unspecified (Clean-Contaminated)

I


Spinal Surgery The minimum wound class for spinal surgery is clean

Use an additional code to specify levels of spine (V55.1, V55.2, V55.3, V55.8 and V55.9 listed below)

V22 Primary decompression operations on cervical spine. (Clean) Includes: decompression operations on cervical spine NEC

V22.1 Primary anterior decompression of cervical spinal cord and fusion of cervical spine V22.2 Primary anterior decompression of cervical spinal cord NEC V22.3 Primary foraminotomy of cervical spine V22.4 Primary anterior corpectomy of cervical spine with reconstruction HFQ V22.5 Primary decompression of posterior fossa and upper cervical spinal cord and instrumentation V22.6 Primary decompression of posterior fossa and upper cervical spinal cord NEC V22.7 Primary laminoplasty of cervical spine V22.8 Other specified V22.9 Unspecified V23 Revisional decompression operations on cervical spine (Clean)

V23.1 Revisional anterior decompression of cervical spinal cord and fusion of cervical spine V23.2 Revisional anterior decompression of cervical spinal cord NEC V23.3 Revisional foraminotomy of cervical spine. V23.4 Revisional anterior corpectomy of cervical spine with reconstruction HFQ V23.5 Revisional decompression of posterior fossa and upper cervical spinal cord and instrumentation V23.6 Revisional decompression of posterior fossa and upper cervical spinal cord NEC V23.7 Revisional laminoplasty of cervical spine V23.8 Other specified V23.9 Unspecified V24 Primary decompression operations on thoracic spine. (Clean)

V24.1 Primary decompression of thoracic spinal cord and fusion of thoracic spine Includes: Decompression of thoracic spinal cord and fusion of joint of thoracic spine V24.2 Primary decompression of thoracic spinal cord NEC

Includes: Decompression of thoracic spinal cord NEC

V24.3 Revisional decompression of thoracic spinal cord NEC V24.4 Primary anterior corpectomy of thoracic spine with reconstruction HFQ Includes: Anterior corpectomy of thoracic spinal cord and reconstruction HFQ V24.5 Revisional anterior corpectomy of thoracic spine and reconstruction HFQ V24.8 Other specified V24.9 Unspecified V25 Primary decompression operations on lumbar spine (Clean)

V25.1 Primary extended decompression of lumbar spinal cord and intertransverse fusion of joint of lumbar spine

V25.2 Primary extended decompression of lumbar spinal cord NEC V25.3 Primary posterior decompression of lumbar spinal cord and intertransverse fusion of joint of

lumbar spine. V25.4 Primary posterior laminectomy decompression of lumbar spinal cord. V25.5 Primary posterior decompression of lumbar spinal cord NEC V25.6 Primary lateral foraminotomy of lumbar spine V25.7 Revisional anterior corpectomy of lumbar spine and reconstruction HFQ V25.8 Other specified V25.9 Unspecified

Surgical procedures on the vertebral structures of the spine including the exploration or decompression of the spinal cord, the removal or resection of intervertebral discs, spinal fusion; and repair of fractures or deformities.


The minimum wound class for spinal surgery is clean

V26 Revisional decompression operations on lumbar spine (Clean) Excludes: revisional insertion of lumbar interspinous process spacer (V28.2)

V26.1 Revisional extended decompression of lumbar spinal cord and intertransverse fusion of joint of lumbar spine

V26.2 Revisional extended decompression of lumbar spinal cord NEC V26.3 Revisional posterior decompression of lumbar spinal cord and intertransverse fusion of joint of

lumbar spine. V26.4 Revisional posterior laminectomy decompression of lumbar spinal cord. V26.5 Revisional posterior decompression of lumbar spinal cord NEC V26.6 Revisional lateral foraminotomy of lumbar spine V26.8 Other specified V26.9 Unspecified

V27 Decompression operations on unspecified spine (Clean)

V27.1 Primary decompression of spinal cord and fusion of joint of spine NEC Includes: decompression of spinal cord and fusion of joint of spine NEC

V27.2 Primary decompression of spinal cord. NEC Includes: Decompression of spinal cord NEC. V27.3 Revisional decompression of spinal cord NEC V27.8 Other specified V27.9 Unspecified V29 Primary excision of cervical intervertebral disc (Clean) Includes: Excision of cervical intervertebral disc NEC.

V29.1 Primary laminectomy excision of cervical intervertebral disc V29.2 Primary hemilaminectomy excision of intervertebral disc V29.3 Primary fenestration excision of cervical intervertebral disc. V29.4 Primary anterior excision of cervical intervertebral disc and interbody fusion

of joint of cervical spine V29.5 Primary anterior excision of cervical intervertebral disc NEC V29.6 Primary microdicectomy of cervical intervertebral disc V29.8 Other specified V29.9 Unspecified V30 Revisional excision of cervical intervertebral disc (Clean)

V30.1 Revisional laminectomy excision of cervical intervertebral disc V30.2 Revisional hemilaminectomy excision of intervertebral disc V30.3 Revisional fenestration excision of cervical intervertebral disc. V30.4 Revisional anterior excision of cervical intervertebral disc and interbody

fusion of joint of cervical spine V30.5 Revisional anterior excision of cervical intervertebral disc NEC V30.6 Revisional microdicectomy of cervical intervertebral disc V30.8 Other specified V30.9 Unspecified V31 Primary excision of thoracic intervertebral disc (Clean) Includes: Excision of thoracic intervertebral disc NEC

V31.1 Primary anteriolateral excision of thoracic intervertebral disc and graft HFQ V31.2 Primary anteriolateral excision of thoracic intervertebral disc NEQ V31.3 Primary costotransversectomy of thoracic intervertebral disc V31.8 Other specified V31.9 Unspecified V32 Revisional excision of thoracic intervertebral disc (Clean)

V32.1 Revisional anteriolateral excision of thoracic intervertebral disc and graft HFQ V32.2 Revisional anteriolateral excision of thoracic intervertebral disc NEQ V32.3 Revisional costotransversectomy of thoracic intervertebral disc V32.8 Other specified V32.9 Unspecified

V33 Primary excision of lumbar intervertebral disc (Clean) Includes: Excision of lumbar intervertebral disc NEC.

V33.1 Primary laminectomy excision of lumbar intervertebral disc



V33.2 Primary fenestration excision of lumbar intervertebral disc V33.3 Primary anterior excision of lumbar intervertebral disc and interbody fusion of joint of lumbar

spine V33.4 Primary anterior excision of lumbar intervertebral disc NEC V33.5 Primary anterior excision of lumbar intervertebral disc and posterior graft fusion of joint of lumbar

spine V33.6 Primary anterior excision of lumbar intervertebral disc and posterior instrumentation of lumbar

spine V33.7 Primary microdiscectomy of lumbar intervertebral disc V33.8 Other specified Includes: Primary posterior excision of lumbar intervertebral disc V33.9 Unspecified V34 Revisional excision of lumbar intervertebral disc (Clean)

V34.1 Revisional laminectomy excision of lumbar intervertebral disc V34.2 Revisional fenestration excision of lumbar intervertebral disc V34.3 Revisional anterior excision of lumbar intervertebral disc and interbody fusion of joint of lumbar

spine V34.4 Revisional anterior excision of lumbar intervertebral disc NEC V34.5 Revisional anterior excision of lumbar intervertebral disc and posterior graft fusion of joint of

lumbar spine V34.6 Revisional anterior excision of lumbar intervertebral disc and posterior instrumentation of lumbar

spine V34.7 Revisional microdiscectomy of lumbar intervertebral disc V34.8 Other specified Includes: Primary posterior excision of lumbar intervertebral disc V34.9 Unspecified V35 Excision of unspecified intervertebral disc (Clean)

V35.1 Primary excision of intervertebral disc NEC V35.2 Revisional excision of intervertebral disc NEC V35.8 Other specified V35.9 Unspecified V36 Prosthetic replacement of intervertebral disc (Clean)

Note: Use an additional code to specify levels of spine (V55) V36.1 Prosthetic replacement of cervical intervertebral disc V36.2 Prosthetic replacement of thoracic intervertebral disc V36.3 Prosthetic replacement of lumbar intervertebral disc V36.8 Other specified V36.9 Unspecified V37 Primary fusion of joint of cervical spine (Clean)

Includes: Fusion of joint of cervical spine NEC Fusion of joint of cervical spine for stabilisation Fusion of joint of cervical spine using cable wire fixation

V37.1 Posterior fusion of atlantoaxial joint NEC V37.2 Posterior fusion of joint of cervical spine NEC V37.4 Fusion of atlantooccipital joint V37.5 Posterior fusion of atlantoaxial joint using transarticular screw V37.6 Posterior fusion of atlantoaxial joint using pedicle screw V37.7 Fusion of occipitocervical NEC junction V37.8 Other specified V37.9 Unspecified V38 Primary fusion of other joint of spine (Clean) Includes: Fusion of joint of spine NEC Unspecified spine Fusion of joint of spine for stabilisation

V38.1 Primary fusion of joint of thoracic spine V38.2 Primary posterior interlaminar fusion of joint of lumbar spine



V38.3 Primary posterior fusion of joint of lumbar spine NEC Includes: Primary posterior interspinous fusion of lumbar spine.

V38.4 Primary intertransverse fusion of joint of lumbar spine NEC V38.5 Primary posterior interbody fusion of joint of lumbar spine V38.6 Primary transforaminal interbody fusion of joint of lumbar spine V38.8 Other specified V38.9 Unspecified

V39 Revisional fusion of other joint of spine (Clean) Includes: Revisional fusion of joint of spine for stabilisation

V39.1 Revisional fusion of joint of cervical spine NEC V39.2 Revisional fusion of joint of thoracic spine V39.3 Revisional posterior interlaminar fusion of joint of lumbar spine V39.4 Revisional posterior fusion of joint of lumbar spine NEC Includes: revisional posterior interspinous fusion of lumbar spine. V39.5 Revisional intertransverse fusion of joint of lumbar spine NEC V39.6 Revisional posterior interbody fusion of joint of lumbar spine V39.7 Revisional transforaminal interbody fusion of joint of lumbar spine V39.8 Other specified V39.9 Unspecified

V40 Stabilisation of spine (Clean) Excludes: Fusion of spine for stabilisation (V37-V39) Note: Use subsidiary code to specify levels of spine (V55)

V40.1 Non-rigid stabilisation of spine Note: Excludes: Fusion of spine for stabilisation (V37–V39)

V40.2 Posterior instrumented fusion of cervical spine NEC V40.3 Posterior instrumented fusion of thoracic spine NEC V40.4 Posterior instrumented fusion of lumbar spine NEC V40.5 Removal of instrumentation from spine V40.8 Other specified V40.9 Unspecified

V41 Instrumental correction of deformity of spine (Clean) Only to be assigned for instrumented correction of spinal deformities, such as kyphosis and scoliosis and must not be used for instrumented spinal fusion which can be found at category V40 stabilisation of spine. Excludes: Implantation of vertical expanding prosthetic titanium rib (O09.1 (W)) Note: Use an additional code to specify levels of spine (V55)

V41.1 Posterior attachment of correctional instrument to spine V41.2 Anterior attachment of correctional instrument to spine V41.3 Removal of correctional instrument to spine V41.4 Anterior and posterior attachment of correctional instrument to spine V41.8 Other specified V41.9 Unspecified

V42 Other correction of deformity of spine (Clean) Note: Use subsidiary code to specify levels of spine (V55)

V42.1 Excision of rib hump V42.2 Epiphysiodesis of spinal apophyseal joint for correction of deformity V42.3 Anteriolateral release of spine for correction of deformity and graft HFQ V42.4 Anterior and posterior epiphysiodesis of spine for correction of deformity V42.5 Anterior epiphysiodesis of spine for correction of deformity NEC V42.6 Posterior epiphysiodesis of spine for correction of deformity NEC V42.8 Other specified V42.9 Unspecified

V43 Extirpation of lesion of spine (Clean) Note: Use subsidiary code to specify levels of spine (V55)

V43.1 Excision of lesion of cervical vertebra V43.2 Excision of lesion of thoracic vertebra V43.3 Excision of lesion of Lumbar vertebra V43.8 Other specified V43.9 Unspecified


V44 Decompression of fracture of spine (Clean) Note: Use subsidiary code to specify levels of spine (V55)

V44.1 Complex decompression of fracture of spine V44.2 Anterior decompression of fracture of spine V44.3 Posterior decompression of fracture of spine V44.4 Vertibroplasty of fracture of spine Includes: Kyphoplasty of fracture of spine V44.8 Other specified V44.9 Unspecified

V45 Other reduction of fracture of spine (Clean) Note: Use subsidiary code to specify levels of spine (V55)

V45.1 Open reduction of fracture of spine and excision of facet of spine V45.2 Open reduction of fracture of spine NEC

V46 Fixation of fracture of spine (Clean) Note: Use subsidiary code to specify levels of spine (V55)

V46.1 Fixation of fracture of spine using plate V46.2 Fixation of fracture of spine using Harrington rod V46.3 Fixation of fracture of spine using wire V46.4 Fixation of fracture of spine and skull traction HFQ V46.5 Removal of fixation device from spine V46.8 Other specified V46.9 Unspecified

V49 Exploration of spine (Clean) Note: Do not use as approach code (Y48-50) Use subsidiary code to specify levels of spine (V55)

V49.1 Exploratory cervical laminectomy V49.2 Exploratory thoracic laminectomy V49.3 Exploratory lumbar laminectomy V49.4 Exploratory laminectomy NEC V49.5 Transthoracic exploration of spine V49.6 Transperitoneal exploration of spine V49.8 Other specified V49.9 Unspecified V51 Other primary excision of lumbar intervertebral disc

Includes: Excision of lumbar intervertebral disc NEC V51.1 Primary direct lateral excision of lumbar intervertebral disc and interbody fusion of joint of lumbar

spine V51.8 Other specified V51.9 Unspecified

V54 Other operations on spine (Clean) V54.1 Transoral excision of odontoid process of axis V54.2 Graft of bone to spine NEC V54.3 Osteotomy of spine NEC V54.8 Other specified other operations on spine V54.9 Unspecified other operations on spine V55 Levels of spine

These codes are not intended as primary codes. They represent the number of levels operated upon not the anatomical region of the spine.

V55.1 One level of spine V55.2 Two levels of spine V55.3 Greater than two levels of spine V55.8 Other specified V55.9 Unspecified

V66 Other revisional fusion of joint of spine (Clean) Includes: Revisional fusion of joint of spine for stabilisation Note: Principal V39 Use an additional code to specify levels of spine (V55)

V66.1 Revisional fusion of occipitocervical junction V66.2 Revisional posterior fusion of atlantoaxial joint using transarticular screw


V66.3 Revisional posterior fusion of atlantoaxial joint using pedicle screw V66.4 Revisional posterior fusion of atlantoaxial joint NEC V66.8 Other specified V66.9 Unspecified

V67 Other primary decompression operations on lumbar spine (Clean) V67.1 Primary posterior lumbar medial facetectomy V67.2 Primary hemilaminectomy decompression of lumbar spine V67.8 Other specified V67.9 Unspecified

V68 Other revisional decompression operations on lumbar spine (Clean) V68.1 Revisional posterior lumbar medial facetectomy V68.2 Revisional hemilaminectomy decompression of lumbar spine V68.8 Other specified V68.9 Unspecified


Vascular surgery

Operative procedure involving arteries or veins includes aortic aneurysm repair, vascular grafts, and carotid, iliac, femoral or popliteal artery operations. Excludes varicose vein repair, creation of arterial shunts, coronary artery bypass graft, or any procedures involving the pulmonary artery.

Note:

In categories L16 to L21, L48 to L54 and L56-L6 5reference to iliac artery (not further qualified) should be understood to include:

common iliac artery external iliac artery internal iliac artery

Similarly reference to femoral artery includes: common femoral artery deep femoral artery superficial femoral artery The minimum wound class for vascular surgery is clean

L16 Extraanatomic bypass of aorta (Clean)

L16.1 Emergency bypass of aorta by anastomosis of axillary artery to femoral artery L16.2 Bypass of aorta by anastomosis of axillary artery to femoral artery not elsewhere classified L16.3 Bypass of aorta by anastomosis of axillary artery to bilateral femoral arteries L16.8 Other specified L16.9 Unspecified L18 Emergency replacement of aneurysmal segment of aorta (Clean) Includes: Emergency replacement of aneurysmal segment of aorta using prosthesis

L18.1 Emergency replacement of aneurysmal segment of ascending aorta by anastomosis of aorta to aorta

L18.2 Emergency replacement of aneurysmal segment of thoracic aorta by anastomosis of aorta to aorta not elsewhere classified

L18.3 Emergency replacement of aneurysmal segment of suprarenal abdominal aorta by anastomosis of aorta to aorta

L18.4 Emergency replacement of aneurysmal segment of infrarenal abdominal aorta by anastomosis of aorta to aorta

L18.5 Emergency replacement of aneurysmal segment of abdominal aorta by anastomosis of aorta to aorta not elsewhere classified

L18.6 Emergency replacement of aneurysmal bifurcation of aorta by anastomosis of aorta to iliac artery L18.8 Other specified L18.9 Unspecified L19 Other replacement of aneurysmal segment of aorta (Clean) Includes: Replacement of aneurysmal segment of aorta using prosthesis not elsewhere classified

L19.1 Replacement of aneurysmal segment of ascending aorta by anastomosis of aorta to aorta not elsewhere classified

L19.2 Replacement of aneurysmal segment of thoracic aorta by anastomosis of aorta to aorta not elsewhere classified

L19.3 Replacement of aneurysmal segment of suprarenal abdominal aorta by anastomosis of aorta to aorta not elsewhere classified

L19.4 Replacement of aneurysmal segment of infrarenal abdominal aorta by anastomosis of aorta to aorta not elsewhere classified

L19.5 Replacement of aneurysmal segment of abdominal aorta by anastomosis of aorta to aorta not elsewhere classified

L19.6 Replacement of aneurysmal bifurcation of aorta by anastomosis of aorta to iliac artery not elsewhere classified

L19.8 Other specified L19.9 Unspecified


The minimum wound class for vascular surgery is clean

L20 Other emergency bypass of segment of aorta (Clean) Includes: Emergency bypass of segment of aorta using prosthesis not elsewhere classified Emergency replacement of segment of aorta not elsewhere classified Emergency replacement of segment of aorta using prosthesis not elsewhere

classified

L20.1 Emergency bypass of segment of ascending aorta by anastomosis of aorta to aorta not elsewhere classified

L20.2 Emergency bypass of segment of thoracic aorta by anastomosis of aorta to aorta not elsewhere classified

L20.3 Emergency bypass of segment of suprarenal abdominal aorta by anastomosis of aorta to aorta not elsewhere classified

L20.4 Emergency bypass of segment of infrarenal abdominal aorta by anastomosis of aorta to aorta not elsewhere classified

L20.5 Emergency bypass of segment of abdominal aorta by anastomosis of aorta to aorta not elsewhere classified

L20.6 Emergency bypass of bifurcation of aorta by anastomosis of aorta to iliac artery not elsewhere classified

L20.8 Other specified L20.9 Unspecified L21 Other bypass of segment of aorta (Clean) Includes: Bypass of segment of aorta using prosthesis not elsewhere classified Replacement of segment of aorta not elsewhere classified Replacement of segment of aorta using prosthesis not elsewhere classified

L21.1 Bypass of segment of ascending aorta by anastomosis of aorta to aorta not elsewhere classified L21.2 Bypass of segment of thoracic aorta by anastomosis of aorta to aorta not elsewhere classified L21.3 Bypass of segment of suprarenal abdominal aorta by anastomosis of aorta to aorta not elsewhere

classified L21.4 Bypass of segment of infrarenal abdominal aorta by anastomosis of aorta to aorta not elsewhere

classified L21.5 Bypass of segment of abdominal aorta by anastomosis of aorta to aorta not elsewhere classified L21.6 Bypass of bifurcation of aorta by anastomosis of aorta to iliac artery not elsewhere classified L21.8 Other specified L21.9 Unspecified L22 Attention to prosthesis of aorta (Clean)

L22.1 Revision of prosthesis of thoracic aorta L22.2 Revision of prosthesis of bifurcation of aorta L22.3 Revision of prosthesis of abdominal aorta not elsewhere classified L22.4 Removal of prosthesis from aorta L22.8 Other specified L22.9 Unspecified L23 Plastic repair of aorta (Clean)

L23.1 Plastic repair of aorta and end to end anastomosis of aorta L23.2 Plastic repair of aorta using subclavian flap L23.3 Plastic repair of aorta using patch graft L23.4 Release of vascular ring of aorta L23.5 Revision of plastic repair of aorta L23.6 Plastic repair of aorta and insertion of tube graft L23.7 Repair of interrupted aortic arch L23.8 Other specified L23.9 Unspecified L25 Other open operations on aorta (Clean) Includes: Aortic body (L25.5)

L25.1 Endarterectomy of aorta and patch repair of aorta L25.2 Endarterectomy of aorta not elsewhere classified L25.3 Open embolectomy of bifurcation of aorta



Includes: Open thrombectomy of bifurcation of aorta Embolectomy of bifurcation of aorta not elsewhere classified Thrombectomy of bifurcation of aorta not elsewhere classified L25.4 Operations on aneurysm of aorta not elsewhere classified L25.5 Operations on aortic body L25.8 Other specified L25.9 Unspecified L28 Transluminal insertion of stent graft for aneurismal segment of aorta (Clean)

NOTE: Includes only procedures requiring an incision to expose a major blood vessel for access e.g. the femoral artery. Does not include percutaneous procedures

L28.1 Endovascular stenting for infrarenal abdominal aortic aneurism L28.2 Endovascular stenting for suprarenal abdominal aortic aneurism L28.3 Endovascular stenting for thoracic aortic aneurism L28.4 Endovascular stenting for aortic dissection in any position L28.5 Endovascular stenting of aortic bifurcation NEC L28.6 Endovascular stentingt of aorto-uniiliac aneurism L28.8 Other specified L28.9 Unspecified L29 Reconstruction of carotid artery (Clean)

L29.1 Replacement of carotid artery using graft L29.2 Intracranial bypass to carotid artery L29.3 Bypass to carotid artery not elsewhere classified L29.4 Endarterectomy of carotid artery and patch repair of carotid artery L29.5 Endarterectomy of carotid artery not elsewhere classified L29.6 High flow interposition extracranial to intracranial bypass from external carotid artery to middle

cerebral artery. L29.7 Bypass of carotid artery by anastomosis of superficial temporal artery to middle cerebral artery. L29.8 Other specified L29.9 Unspecified L30 Other open operations on carotid artery (Clean) Includes: Carotid body (L30.5)

L30.1 Repair of carotid artery not elsewhere classified L30.2 Ligation of carotid artery L30.3 Open embolectomy of carotid artery Includes: Open thrombectomy of carotid artery Embolectomy of carotid artery not elsewhere classified Thrombectomy of carotid artery not elsewhere classified L30.4 Operations on aneurysm of carotid artery L30.5 Operations on carotid body L30.8 Other specified L30.9 Unspecified



L37 Reconstruction of subclavian artery (Clean) Includes: Axillary artery Brachial artery Vertebral artery

L37.1 Bypass of subclavian artery not elsewhere classified L37.2 Endarterectomy of vertebral artery L37.3 Endarterectomy of subclavian artery and patch repair of subclavian artery L37.4 Endarterectomy of subclavian artery not elsewhere classified L37.8 Other specified L37.9 Unspecified L38 Other open operations on subclavian artery (Clean) Includes: Axillary artery Brachial artery Vertebral artery

L38.1 Repair of subclavian artery not elsewhere classified L38.2 Ligation of subclavian artery L38.3 Open embolectomy of subclavian artery Includes: Open thrombectomy of subclavian artery Embolectomy of subclavian artery not elsewhere classified Thrombectomy of subclavian artery not elsewhere classified L38.4 Operations on aneurysm of subclavian artery L38.8 Other specified L38.9 Unspecified

L41 Reconstruction of renal artery (Clean)

L41.1 Plastic repair of renal artery and end to end anastomosis of renal artery L41.2 Bypass of renal artery L41.3 Replantation of renal artery L41.4 Endarterectomy of renal artery L41.5 Translocation of branch of renal artery L41.6 Patch angioplasty of renal artery L41.8 Other specified L41.9 Unspecified L42 Other open operations on renal artery (Clean)

L42.1 Open embolectomy of renal artery Includes: Open thrombectomy of renal artery Embolectomy of renal artery not elsewhere classified Thrombectomy of renal artery not elsewhere classified L42.2 Open embolisation of renal artery L42.3 Ligation of renal artery L42.4 Operations on aneurysm of renal artery L42.8 Other specified L42.9 Unspecified

L45 Reconstruction of other visceral branch of abdominal aorta (Clean) Includes: Coeliac artery Superior mesenteric artery Inferior mesenteric artery Suprarenal artery

L45.1 Bypass of visceral branch of abdominal aorta not elsewhere classified L45.2 Replantation of visceral branch of abdominal aorta not elsewhere classified L45.3 Endarterectomy of visceral branch of abdominal aorta and patch repair of visceral branch of

abdominal aorta not elsewhere classified L45.4 Endarterectomy of visceral branch of abdominal aorta not elsewhere classified L45.8 Other specified L45.9 Unspecified

L46 Other open operations on other visceral branch of abdominal aorta (Clean) Includes: Coeliac artery Superior mesenteric artery Inferior mesenteric artery Suprarenal artery



L46.1 Open embolectomy of visceral branch of abdominal aorta not elsewhere classified Includes: Open thrombectomy of visceral branch of abdominal aorta not elsewhere classified Embolectomy of visceral branch of abdominal aorta not elsewhere classified Thrombectomy of visceral branch of abdominal aorta not elsewhere classified L46.2 Open embolisation of visceral branch of abdominal aorta not elsewhere classified L46.3 Ligation of visceral branch of abdominal aorta not elsewhere classified L46.4 Operations on aneurysm of visceral branch of abdominal aorta not elsewhere classified L46.8 Other specified L46.9 Unspecified L48 Emergency replacement of aneurysmal iliac artery (Clean) Includes: Emergency replacement of aneurysmal iliac artery using prosthesis

L48.1 Emergency replacement of aneurysmal common iliac artery by anastomosis of aorta to common iliac artery

L48.2 Emergency replacement of aneurysmal iliac artery by anastomosis of aorta to external iliac artery Includes: Emergency replacement of aneurysmal iliac artery by anastomosis of aorta to internal

iliac artery L48.3 Emergency replacement of aneurysmal artery of leg by anastomosis of aorta to common femoral

artery L48.4 Emergency replacement of aneurysmal artery of leg by anastomosis of aorta to superficial

femoral artery Includes: Emergency replacement of aneurysmal artery of leg by anastomosis of aorta to deep

femoral artery. Emergency replacement of aneurysmal artery of leg by anastomosis of aorta to

popliteal artery L48.5 Emergency replacement of aneurysmal iliac artery by anastomosis of iliac artery to iliac artery L48.6 Emergency replacement of aneurysmal artery of leg by anastomosis of iliac artery to femoral

artery Includes: Emergency replacement of aneurysmal artery of leg by anastomosis of iliac artery to

popliteal artery L48.8 Other specified L48.9 Unspecified L49 Other replacement of aneurysmal iliac artery (Clean) Includes: Replacement of aneurysmal iliac artery using prosthesis not elsewhere classified

L49.1 Replacement of aneurysmal common iliac artery by anastomosis of aorta to common iliac artery not elsewhere classified

L49.2 Replacement of aneurysmal iliac artery by anastomosis of aorta to external iliac artery not elsewhere classified

Includes: Replacement of aneurysmal iliac artery by anastomosis of aorta to internal iliac artery not elsewhere classified

L49.3 Replacement of aneurysmal artery of leg by anastomosis of aorta to common femoral artery not elsewhere classified

L49.4 Replacement of aneurysmal artery of leg by anastomosis of aorta to superficial femoral artery not elsewhere classified

Includes: Replacement of aneurysmal artery of leg by anastomosis of aorta to deep femoral artery not elsewhere classified

Replacement of aneurysmal artery of leg by anastomosis of aorta to popliteal artery not elsewhere classified

L49.5 Replacement of aneurysmal iliac artery by anastomosis of iliac artery to iliac artery not elsewhere classified

L49.6 Replacement of aneurysmal artery of leg by anastomosis of iliac artery to femoral artery not elsewhere classified

Includes: Replacement of aneurysmal artery of leg by anastomosis of iliac artery to popliteal artery not elsewhere classified

L49.8 Other specified L49.9 Unspecified L50 Other emergency bypass of iliac artery (Clean)



Includes: Emergency bypass of iliac artery using prosthesis not elsewhere classified Emergency replacement of iliac artery not elsewhere classified Emergency replacement of iliac artery using prosthesis not elsewhere classified

L50.1 Emergency bypass of common iliac artery by anastomosis of aorta to common iliac artery not elsewhere classified

L50.2 Emergency bypass of iliac artery by anastomosis of aorta to external iliac artery not elsewhere classified

Includes: Emergency bypass of iliac artery by anastomosis of aorta to internal iliac artery not elsewhere classified

L50.3 Emergency bypass of artery of leg by anastomosis of aorta to common femoral artery not elsewhere classified

L50.4 Emergency bypass of artery of leg by anastomosis of aorta to deep femoral artery not elsewhere classified

Includes: Emergency bypass of artery of leg by anastomosis of aorta to superficial femoral artery not elsewhere classified

Emergency bypass of artery of leg by anastomosis of aorta to popliteal artery not elsewhere classified

L50.5 Emergency bypass of iliac artery by anastomosis of iliac artery to iliac artery not elsewhere classified

L50.6 Emergency bypass of artery of leg by anastomosis of iliac artery to femoral artery not elsewhere classified

Includes: Emergency bypass of artery of leg by anastomosis of iliac artery to popliteal artery not elsewhere classified

L50.8 Other specified Includes: Emergency aortoiliac anastomosis not elsewhere classified Emergency aortofemoral anastomosis not elsewhere classified Emergency iliofemoral anastomosis not elsewhere classified L50.9 Unspecified L51 Other bypass of iliac artery (Clean) Includes: Bypass of iliac artery using prosthesis not elsewhere classified Replacement of iliac artery not elsewhere classified Replacement of iliac artery using prosthesis not elsewhere classified

L51.1 Bypass of common iliac artery by anastomosis of aorta to common iliac artery not elsewhere classified

L51.2 Bypass of iliac artery by anastomosis of aorta to external iliac artery not elsewhere classified Includes: Bypass of iliac artery by anastomosis of aorta to internal iliac artery not elsewhere

classified L51.3 Bypass of artery of leg by anastomosis of aorta to common femoral artery not elsewhere

classified L51.4 Bypass of artery of leg by anastomosis of aorta to deep femoral artery not elsewhere classified Includes: Bypass of artery of leg by anastomosis of aorta to superficial femoral artery not

elsewhere classified Bypass of artery of leg by anastomosis of aorta to popliteal artery not elsewhere

classified L51.5 Bypass of iliac artery by anastomosis of iliac artery to iliac artery not elsewhere classified L51.6 Bypass of artery of leg by anastomosis of iliac artery to femoral artery not elsewhere classified Includes: Bypass of artery of leg by anastomosis of iliac artery to popliteal artery not elsewhere

classified L51.8 Other specified Includes: Aortoiliac anastomosis not elsewhere classified Aortofemoral anastomosis not elsewhere classified Iliofemoral anastomosis not elsewhere classified L51.9 Unspecified L52 Reconstruction of iliac artery (Clean)

L52.1 Endarterectomy of iliac artery and patch repair of iliac artery L52.2 Endarterectomy of iliac artery not elsewhere classified L52.8 Other specified L52.9 Unspecified L53 Other open operations on iliac artery (Clean)

L53.1 Repair of iliac artery not elsewhere classified



L53.2 Open embolectomy of iliac artery Includes: Open thrombectomy of iliac artery Embolectomy of iliac artery not elsewhere classified Thrombectomy of iliac artery not elsewhere classified L53.3 Operations on aneurysm of iliac artery not elsewhere classified L53.8 Other specified L53.9 Unspecified L56 Emergency replacement of aneurysmal femoral artery (Clean) Excludes: When associated with connection from aorta or iliac artery (L48)

L56.1 Emergency replacement of aneurysmal femoral artery by anastomosis of femoral artery to femoral artery

Includes: Emergency replacement of aneurysmal femoral artery by anastomosis of femoral artery to femoral artery using prosthesis

L56.2 Emergency replacement of aneurysmal femoral artery by anastomosis of femoral artery to popliteal artery using prosthesis

L56.3 Emergency replacement of aneurysmal femoral artery by anastomosis of femoral artery to popliteal artery using vein graft

Includes: Emergency replacement of aneurysmal femoral artery by anastomosis of femoral artery to popliteal artery not elsewhere classified

L56.4 Emergency replacement of aneurysmal femoral artery by anastomosis of femoral artery to tibial artery using prosthesis

Includes: Popliteal artery L56.5 Emergency replacement of aneurysmal femoral artery by anastomosis of femoral artery to tibial

artery using vein graft Includes: Emergency replacement of aneurysmal femoral artery by anastomosis of femoral

artery to tibial artery not elsewhere classified Popliteal artery L56.6 Emergency replacement of aneurysmal femoral artery by anastomosis of femoral artery to

peroneal artery using prosthesis Includes: Popliteal artery L56.7 Emergency replacement of aneurysmal femoral artery by anastomosis of femoral artery to

peroneal artery using vein graft Includes: Emergency replacement of aneurysmal femoral artery by anastomosis of femoral

artery to peroneal artery not elsewhere classified Popliteal artery L56.8 Other specified L56.9 Unspecified



L57 Other replacement of aneurysmal femoral artery (Clean) Excludes: When associated with connection from aorta or iliac artery (L49)

L57.1 Replacement of aneurysmal femoral artery by anastomosis of femoral artery to femoral artery not elsewhere classified

Includes: Replacement of aneurysmal femoral artery by anastomosis of femoral artery to femoral artery using prosthesis not elsewhere classified

L57.2 Replacement of aneurysmal femoral artery by anastomosis of femoral artery to popliteal artery using prosthesis not elsewhere classified

L57.3 Replacement of aneurysmal femoral artery by anastomosis of femoral artery to popliteal artery using vein graft not elsewhere classified

Includes: Replacement of aneurysmal femoral artery by anastomosis of femoral artery to popliteal artery not elsewhere classified

L57.4 Replacement of aneurysmal femoral artery by anastomosis of femoral artery to tibial artery using prosthesis not elsewhere classified

Includes: Popliteal artery

L57.5 Replacement of aneurysmal femoral artery by anastomosis of femoral artery to tibial artery using vein graft not elsewhere classified

Includes: Replacement of aneurysmal femoral artery by anastomosis of femoral artery to tibial artery not elsewhere classified

Popliteal artery L57.6 Replacement of aneurysmal femoral artery by anastomosis of femoral artery to peroneal artery

using prosthesis not elsewhere classified Includes: Popliteal artery L57.7 Replacement of aneurysmal femoral artery by anastomosis of femoral artery to peroneal artery

using vein graft not elsewhere classified Includes: Replacement of aneurysmal femoral artery by anastomosis of femoral artery to

peroneal artery not elsewhere classified Popliteal artery L57.8 Other specified L57.9 Unspecified L58 Other emergency bypass of femoral artery (Clean) Includes: Emergency replacement of femoral artery not elsewhere classified Excludes: When associated with connection from aorta or iliac artery (L50)

L58.1 Emergency bypass of femoral artery by anastomosis of femoral artery to femoral artery not elsewhere classified

Includes: Emergency bypass of femoral artery by anastomosis of femoral artery to femoral artery using prosthesis not elsewhere classified

L58.2 Emergency bypass of femoral artery by anastomosis of femoral artery to popliteal artery using prosthesis not elsewhere classified

L58.3 Emergency bypass of femoral artery by anastomosis of femoral artery to popliteal artery using vein graft not elsewhere classified

Includes: Emergency bypass of femoral artery by anastomosis of femoral artery to popliteal artery not elsewhere classified

L58.4 Emergency bypass of femoral artery by anastomosis of femoral artery to tibial artery using prosthesis not elsewhere classified

Includes: Popliteal artery L58.5 Emergency bypass of femoral artery by anastomosis of femoral artery to tibial artery using vein

graft not elsewhere classified Includes: Emergency bypass of femoral artery by anastomosis of femoral artery to tibial artery

not elsewhere classified Popliteal artery L58.6 Emergency bypass of femoral artery by anastomosis of femoral artery to peroneal artery using

prosthesis not elsewhere classified Includes: Popliteal artery L58.7 Emergency bypass of femoral artery by anastomosis of femoral artery to peroneal artery using

vein graft not elsewhere classified

Includes: Emergency bypass of femoral artery by anastomosis of femoral artery to peroneal artery not elsewhere classified

Popliteal artery L58.8 Other specified L58.9 Unspecified



L59 Other bypass of femoral artery (Clean) Includes: Replacement of femoral artery not elsewhere classified Excludes: When associated with connection from aorta or iliac artery (L51)

L59.1 Bypass of femoral artery by anastomosis of femoral artery to femoral artery not elsewhere classified

Includes: Bypass of femoral artery by anastomosis of femoral artery to femoral artery using prosthesis not elsewhere classified

L59.2 Bypass of femoral artery by anastomosis of femoral artery to popliteal artery using prosthesis not elsewhere classified

L59.3 Bypass of femoral artery by anastomosis of femoral artery to popliteal artery using vein graft not elsewhere classified

Includes: Bypass of femoral artery by anastomosis of femoral artery to popliteal artery not elsewhere classified

L59.4 Bypass of femoral artery by anastomosis of femoral artery to tibial artery using prosthesis not elsewhere classified

Includes: Popliteal artery L59.5 Bypass of femoral artery by anastomosis of femoral artery to tibial artery using vein graft not

elsewhere classified Includes: Bypass of femoral artery by anastomosis of femoral artery to tibial artery not

elsewhere classified Popliteal artery L59.6 Bypass of femoral artery by anastomosis of femoral artery to peroneal artery using prosthesis not

elsewhere classified Includes: Popliteal artery L59.7 Bypass of femoral artery by anastomosis of femoral artery to peroneal artery using vein graft not

elsewhere classified Includes: Bypass of femoral artery by anastomosis of femoral artery to peroneal artery not

elsewhere classified Popliteal artery

L59.8 Other specified L59.9 Unspecified L60 Reconstruction of femoral artery (Clean) Includes: Popliteal artery

L60.1 Endarterectomy of femoral artery and patch repair of femoral artery L60.2 Endarterectomy of femoral artery not elsewhere classified L60.3 Profundoplasty of femoral artery and patch repair of deep femoral artery L60.4 Profundoplasty of femoral artery not elsewhere classified L60.8 Other specified L60.9 Unspecified L62 Other open operations on femoral artery (Clean) Includes: Popliteal artery

L62.1 Repair of femoral artery not elsewhere classified L62.2 Open embolectomy of femoral artery Includes: Open thrombectomy of femoral artery Embolectomy of femoral artery not elsewhere classified Thrombectomy of femoral artery not elsewhere classified L62.3 Ligation of aneurysm of popliteal artery L62.4 Operations on aneurysm of femoral artery not elsewhere classified L62.8 Other specified L62.9 Unspecified



L65 Revision of reconstruction of artery (Clean)

L65.1 Revision of reconstruction involving aorta L65.2 Revision of reconstruction involving iliac artery L65.3 Revision of reconstruction involving femoral artery L65.8 Other specified L65.9 Unspecified L68 Repair of other artery (Clean) Includes: Unspecified artery

L68.1 Endarterectomy and patch repair of artery not elsewhere classified L68.2 Endarterectomy not elsewhere classified L68.3 Repair of artery using prosthesis not elsewhere classified L68.4 Repair of artery using vein graft not elsewhere classified Includes: Repair of artery using graft not elsewhere classified L68.8 Other specified L68.9 Unspecified L70 Other open operations on other artery (Clean) Includes: Unspecified artery

L70.1 Open embolectomy of artery not elsewhere classified Includes: Open thrombectomy of artery not elsewhere classified Embolectomy of artery not elsewhere classified Thrombectomy of artery not elsewhere classified L70.2 Open embolisation of artery not elsewhere classified L70.3 Ligation of artery not elsewhere classified L70.4 Open cannulation of artery not elsewhere classified L70.5 Operations on aneurysm of artery not elsewhere classified L70.8 Other specified L70.9 Unspecified L75 Other arteriovenous operations (Clean)

L75.1 Excision of congenital arteriovenous malformation Includes: Ligation of congenital arteriovenous malformation L75.2 Repair of acquired arteriovenous fistula Includes: Ligation of acquired arteriovenous fistula L75.3 Embolisation of arteriovenous abnormality L75.8 Other specified L75.9 Unspecified L77 Connection of vena cava or branch of vena cava (Clean)

L77.1 Creation of portocaval shunt L77.2 Creation of mesocaval shunt L77.3 Creation portosystemic shunt not elsewhere classified L77.4 Creation of distal splenorenal shunt L77.5 Creation of proximal splenorenal shunt L77.8 Other specified L77.9 Unspecified L79 Other operations on vena cava (Clean)

L79.1 Insertion of filter into vena cava L79.2 Plication of vena cava L79.3 Stenting of vena cava NEC L79.4 Attention to filter into vena cava NEC L79.5 Removal of filter in vena cava L79.6 Repair of anomalous caval vein connection L79.7 Excision of lesion of vena cava L79.8 Other specified L79.9 Unspecified

-o0o-

opcs operating procedure codes · ssi protocol: opcs operating procedure code supplement. rev.: 1....

Documents